Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $113.04 / $158.62	Professional		$81.20	$113.04	$158.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $121.06 / $201.44	Professional		$91.86	$121.06	$201.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $85.26 / $85.26	Professional		$76.73	$85.26	$85.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.78 / $149.78 / $149.78	Facility		$149.78	$149.78	$149.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $122.89 / $233.62	Professional		$85.08	$122.89	$233.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $134.04 / $160.85	Professional		$113.93	$134.04	$160.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $135.90 / $192.70	Facility		$92.54	$135.90	$192.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $182.13 / $235.00	Professional		$166.00	$182.13	$235.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.78 / $112.74 / $150.55	Facility		$92.78	$112.74	$150.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $144.57 / $191.18	Professional		$123.22	$144.57	$191.18
United Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $105.98 / $168.84	Professional		$84.51	$105.98	$168.84