Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $87.67 / $105.04	Professional		$79.39	$87.67	$105.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $101.84 / $153.28	Professional		$78.47	$101.84	$153.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $114.28 / $222.85	Professional		$102.85	$114.28	$222.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $114.76 / $189.62	Professional		$86.02	$114.76	$189.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $96.11 / $139.66	Professional		$78.95	$96.11	$139.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $112.96 / $193.30	Facility		$81.86	$112.96	$193.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $126.19 / $173.00	Professional		$111.00	$126.19	$173.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.87 / $115.65 / $170.67	Facility		$89.87	$115.65	$170.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $115.65 / $170.67	Professional		$89.87	$115.65	$170.67
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.83 / $153.57	Professional		$68.86	$98.83	$153.57