Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $135.13 / $179.90	Facility		$135.13	$135.13	$179.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $142.54 / $179.90	Professional		$110.56	$142.54	$179.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $144.38 / $213.50	Professional		$102.88	$144.38	$213.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $141.66 / $243.67	Professional		$127.50	$141.66	$243.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $187.12 / $319.00	Professional		$123.12	$187.12	$319.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $152.19 / $190.23	Professional		$112.41	$152.19	$190.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $154.34 / $230.33	Facility		$112.73	$154.34	$230.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $226.00 / $312.00	Professional		$203.00	$226.00	$312.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $177.97 / $272.10	Facility		$127.98	$177.97	$272.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $223.97 / $374.75	Professional		$165.38	$223.97	$374.75
United Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $212.68 / $345.21	Professional		$129.18	$212.68	$345.21