Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $95.03 / $218.44	Facility		$79.95	$95.03	$218.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $87.58 / $107.46	Professional		$77.97	$87.58	$107.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $99.82 / $134.94	Professional		$79.25	$99.82	$134.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $85.41 / $122.99	Professional		$85.41	$85.41	$122.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $106.87 / $194.04	Professional		$79.08	$106.87	$194.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $90.97 / $107.29	Professional		$77.70	$90.97	$107.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $100.73 / $136.66	Facility		$79.95	$100.73	$136.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $125.00 / $200.18	Professional		$115.00	$125.00	$200.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $101.69 / $212.29	Facility		$73.45	$101.69	$212.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $106.71 / $224.77	Professional		$77.87	$106.71	$224.77
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $111.98 / $168.22	Professional		$70.45	$111.98	$168.22