Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $109.12 / $110.62	Facility		$93.70	$109.12	$110.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $101.52 / $164.39	Professional		$88.19	$101.52	$164.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $120.30 / $184.52	Professional		$89.41	$120.30	$184.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $124.74 / $1,629.35	Professional		$124.74	$124.74	$1,629.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $140.59 / $231.78	Professional		$101.12	$140.59	$231.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $114.91 / $149.38	Professional		$99.42	$114.91	$149.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.51 / $110.62 / $171.47	Facility		$93.51	$110.62	$171.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $150.99 / $246.00	Professional		$130.83	$150.99	$246.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $137.30 / $230.47	Facility		$101.60	$137.30	$230.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $139.13 / $233.64	Professional		$102.64	$139.13	$233.64
United Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $140.32 / $208.73	Professional		$84.88	$140.32	$208.73