Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $302.00	Facility		$83.18	$158.49	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $199.53	Professional		$61.66	$91.20	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $181.97	Professional		$75.86	$131.83	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $234.42	Professional		$87.10	$102.33	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $204.17	Facility		$72.44	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $208.93	Professional		$91.20	$120.23	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $144.54	Professional		$100.00	$117.49	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $104.71 / $177.83	Facility		$70.79	$104.71	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $338.84	Facility		$91.20	$120.23	$338.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $338.84	Professional		$91.20	$120.23	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $123.03 / $123.03	Facility		$112.20	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $165.96	Professional		$72.44	$102.33	$165.96