Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $79.34 / $141.31	Facility		$79.34	$79.34	$141.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $79.34 / $81.34	Professional		$66.95	$79.34	$81.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $98.19 / $185.75	Professional		$75.37	$98.19	$185.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $168.73 / $474.50	Professional		$168.73	$168.73	$474.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $491.90 / $876.20	Facility		$91.72	$491.90	$876.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $116.61 / $218.42	Professional		$65.42	$116.61	$218.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $93.94 / $115.20	Professional		$78.29	$93.94	$115.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $116.64 / $189.00	Facility		$73.98	$116.64	$189.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $49.00 / $168.00	Professional		$38.00	$49.00	$168.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $80.16 / $165.25	Facility		$37.46	$80.16	$165.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $107.29 / $189.73	Professional		$40.76	$107.29	$189.73
United Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $139.81 / $278.75	Professional		$76.47	$139.81	$278.75