Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $162.18 / $255.36	Facility		$95.62	$162.18	$255.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $90.03 / $112.90	Professional		$75.42	$90.03	$112.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $108.47 / $160.46	Professional		$82.97	$108.47	$160.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $103.44 / $401.17	Professional		$86.81	$103.44	$401.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $246.47 / $307.77	Facility		$103.37	$246.47	$307.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $127.11 / $202.79	Professional		$86.14	$127.11	$202.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $105.15 / $126.22	Professional		$85.12	$105.15	$126.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $122.90 / $189.83	Facility		$81.28	$122.90	$189.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $134.00 / $196.00	Professional		$107.00	$134.00	$196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $138.52 / $218.10	Facility		$89.11	$138.52	$218.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $138.52 / $218.10	Professional		$89.11	$138.52	$218.10
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $123.72 / $190.86	Professional		$75.11	$123.72	$190.86