Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $115.57 / $260.75	Facility		$99.71	$115.57	$260.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $102.07 / $129.25	Professional		$95.08	$102.07	$129.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $114.59 / $149.60	Professional		$69.84	$114.59	$149.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $97.61 / $140.56	Professional		$97.61	$97.61	$140.56
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 $82.27 / $121.62 / $215.30	Professional		$82.27	$121.62	$215.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $108.03 / $133.05	Professional		$90.98	$108.03	$133.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $115.57 / $154.08	Facility		$72.00	$115.57	$154.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $139.00 / $202.22	Professional		$126.00	$139.00	$202.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $118.57 / $229.68	Facility		$64.05	$118.57	$229.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $118.57 / $229.68	Professional		$64.05	$118.57	$229.68
United Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $104.44 / $184.45	Professional		$70.69	$104.44	$184.45