Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.92 / $150.94 / $346.97	Facility		$127.92	$150.94	$346.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $138.34 / $162.36	Professional		$124.94	$138.34	$162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $161.13 / $223.74	Professional		$126.00	$161.13	$223.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $152.69 / $281.73	Professional		$152.69	$152.69	$281.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $403.53 / $466.76	Facility		$157.91	$403.53	$466.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $185.46 / $298.47	Professional		$139.97	$185.46	$298.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $151.94 / $217.07	Professional		$115.77	$151.94	$217.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $169.10 / $255.09	Facility		$128.27	$169.10	$255.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $204.68 / $306.00	Professional		$184.00	$204.68	$306.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $185.30 / $293.72	Facility		$141.34	$185.30	$293.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $185.30 / $293.72	Professional		$141.34	$185.30	$293.72
United Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $169.09 / $269.11	Professional		$115.02	$169.09	$269.11