Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $171.09 / $5,774.37	Facility		$147.65	$171.09	$5,774.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $154.69 / $206.50	Professional		$137.05	$154.69	$206.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $182.68 / $279.44	Professional		$138.26	$182.68	$279.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $194.72 / $1,629.35	Professional		$194.72	$194.72	$1,629.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.55 / $217.32 / $356.54	Professional		$153.55	$217.32	$356.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $172.94 / $224.82	Professional		$149.47	$172.94	$224.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $171.09 / $264.80	Facility		$144.69	$171.09	$264.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.36 / $234.20 / $372.55	Professional		$202.36	$234.20	$372.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $214.12 / $357.41	Facility		$157.13	$214.12	$357.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $216.19 / $361.37	Professional		$158.82	$216.19	$361.37
United Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $222.74 / $342.52	Professional		$130.43	$222.74	$342.52