Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $143.25 / $145.50	Facility		$123.62	$143.25	$145.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $133.29 / $175.14	Professional		$116.02	$133.29	$175.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $152.58 / $234.05	Professional		$116.77	$152.58	$234.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $167.56 / $1,629.35	Professional		$167.56	$167.56	$1,629.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $183.41 / $302.97	Professional		$129.25	$183.41	$302.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $144.69 / $188.10	Professional		$124.95	$144.69	$188.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $145.50 / $226.22	Facility		$122.52	$145.50	$226.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $199.47 / $311.83	Professional		$172.09	$199.47	$311.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.27 / $180.57 / $302.56	Facility		$134.27	$180.57	$302.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $183.76 / $307.31	Professional		$136.38	$183.76	$307.31
United Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $184.06 / $274.52	Professional		$110.92	$184.06	$274.52