Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $84.48 / $332.00	Facility		$65.73	$84.48	$332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $94.50 / $161.90	Professional		$68.92	$94.50	$161.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $68.98 / $68.98	Facility		$68.98	$68.98	$68.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $106.50 / $136.46	Professional		$73.09	$106.50	$136.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $96.92 / $177.23	Professional		$93.77	$96.92	$177.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $250.00	Facility		$156.66	$156.66	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $92.76 / $143.29	Professional		$63.00	$92.76	$143.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $99.81 / $126.89	Professional		$79.39	$99.81	$126.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $99.39 / $149.38	Facility		$79.87	$99.39	$149.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $119.00 / $205.00	Professional		$104.00	$119.00	$205.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $124.71 / $192.97	Facility		$85.06	$124.71	$192.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $133.41 / $210.06	Professional		$90.07	$133.41	$210.06
United Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $101.45 / $180.39	Professional		$72.86	$101.45	$180.39