Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $102.84 / $155.11	Professional		$93.19	$102.84	$155.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $118.69 / $178.04	Professional		$90.79	$118.69	$178.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $133.16 / $245.69	Professional		$119.85	$133.16	$245.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $700.00 / $1,267.00	Facility		$116.35	$700.00	$1,267.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $132.97 / $216.32	Professional		$100.56	$132.97	$216.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $111.58 / $161.85	Professional		$91.72	$111.58	$161.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $131.10 / $231.33	Facility		$95.45	$131.10	$231.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $147.00 / $199.00	Professional		$129.00	$147.00	$199.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $132.96 / $198.02	Facility		$104.37	$132.96	$198.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $132.96 / $198.02	Professional		$104.37	$132.96	$198.02
United Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $117.18 / $177.91	Professional		$80.93	$117.18	$177.91