Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $112.28 / $215.76	Facility		$66.05	$112.28	$215.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $78.97 / $103.45	Professional		$65.34	$78.97	$103.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $86.65 / $116.37	Professional		$66.84	$86.65	$116.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $88.29 / $447.52	Professional		$88.29	$88.29	$447.52
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 $68.40 / $99.58 / $164.21	Professional		$68.40	$99.58	$164.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $84.39 / $103.15	Professional		$68.78	$84.39	$103.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $91.92 / $140.07	Facility		$66.05	$91.92	$140.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $121.00 / $175.95	Professional		$106.00	$121.00	$175.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $86.86 / $163.12	Facility		$51.58	$86.86	$163.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $101.86 / $182.10	Professional		$61.29	$101.86	$182.10
United Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $107.04 / $178.53	Professional		$65.58	$107.04	$178.53