Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $185.38 / $289.08	Facility		$82.70	$185.38	$289.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $84.37 / $110.10	Professional		$59.36	$84.37	$110.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $123.47 / $161.18	Professional		$76.67	$123.47	$161.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $92.88 / $195.25	Professional		$77.29	$92.88	$195.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $80.00 / $202.81	Facility		$72.00	$80.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $119.67 / $207.70	Professional		$91.63	$119.67	$207.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $115.06 / $141.71	Professional		$96.90	$115.06	$141.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $100.39 / $158.05	Facility		$68.73	$100.39	$158.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $125.00 / $224.00	Professional		$114.00	$125.00	$224.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $111.31 / $220.00	Facility		$89.95	$111.31	$220.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $111.31 / $220.00	Professional		$89.95	$111.31	$220.00
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $119.55 / $119.55	Facility		$108.68	$119.55	$119.55
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $110.84 / $164.99	Professional		$70.45	$110.84	$164.99