Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $93.10 / $213.67	Facility		$78.93	$93.10	$213.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $84.55 / $101.67	Professional		$77.08	$84.55	$101.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $98.64 / $136.13	Professional		$77.13	$98.64	$136.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $90.88 / $167.67	Professional		$90.88	$90.88	$167.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $255.47 / $295.51	Facility		$96.70	$255.47	$295.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $115.78 / $186.15	Professional		$86.11	$115.78	$186.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $93.49 / $133.56	Professional		$71.23	$93.49	$133.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $106.54 / $158.75	Facility		$79.14	$106.54	$158.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $126.20 / $194.00	Professional		$114.00	$126.20	$194.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $118.21 / $183.43	Facility		$88.20	$118.21	$183.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $118.21 / $183.43	Professional		$88.20	$118.21	$183.43
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $103.72 / $162.71	Professional		$69.50	$103.72	$162.71