Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $99.00 / $349.00	Facility		$35.72	$99.00	$349.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $119.44 / $178.04	Professional		$86.32	$119.44	$178.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $121.34 / $184.69	Professional		$86.31	$121.34	$184.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $92.27 / $115.34	Professional		$70.12	$92.27	$115.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.49 / $360.27 / $632.46	Facility		$207.49	$360.27	$632.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $179.00 / $292.91	Professional		$100.85	$179.00	$292.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $144.62 / $177.63	Professional		$120.51	$144.62	$177.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $175.09 / $232.18	Facility		$117.40	$175.09	$232.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $159.00 / $235.00	Professional		$57.45	$159.00	$235.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $135.91 / $244.45	Facility		$49.91	$135.91	$244.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $175.54 / $269.85	Professional		$56.98	$175.54	$269.85
United Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $175.84 / $272.72	Professional		$108.21	$175.84	$272.72