Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.06 / $348.72 / $502.52	Facility		$128.06	$348.72	$502.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $128.06 / $187.68	Professional		$115.23	$128.06	$187.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $146.81 / $219.56	Professional		$114.84	$146.81	$219.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $230.77 / $279.29	Professional		$182.51	$230.77	$279.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $440.37 / $566.32	Facility		$106.03	$440.37	$566.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $181.93 / $366.66	Professional		$99.04	$181.93	$366.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $168.38 / $172.78	Professional		$120.60	$168.38	$172.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $180.40 / $234.35	Facility		$106.00	$180.40	$234.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $217.00 / $297.74	Professional		$174.00	$217.00	$297.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $202.58 / $429.81	Facility		$81.20	$202.58	$429.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $202.58 / $532.23	Professional		$81.20	$202.58	$532.23
United Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $81.16 / $181.49	Facility		$42.34	$81.16	$181.49
United Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $148.01 / $259.02	Professional		$79.22	$148.01	$259.02