Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $122.75 / $184.59	Professional		$111.22	$122.75	$184.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $139.79 / $213.41	Professional		$108.99	$139.79	$213.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $158.94 / $293.23	Professional		$143.04	$158.94	$293.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $175.00 / $429.00	Facility		$139.44	$175.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $150.66 / $254.00	Professional		$118.64	$150.66	$254.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $133.11 / $193.25	Professional		$109.51	$133.11	$193.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.50 / $150.31 / $241.29	Facility		$113.50	$150.31	$241.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $172.61 / $230.00	Professional		$153.00	$172.61	$230.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $151.28 / $235.98	Facility		$124.22	$151.28	$235.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $151.28 / $235.98	Professional		$124.22	$151.28	$235.98
United Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $128.85 / $209.25	Professional		$91.42	$128.85	$209.25