Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Facility		$138.04	$138.04	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $213.80	Professional		$120.23	$147.91	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $316.23	Professional		$128.82	$177.83	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $181.97	Professional		$97.72	$138.04	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $204.17 / $338.84	Facility		$50.12	$204.17	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $302.00	Professional		$125.89	$190.55	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $199.53	Professional		$125.89	$154.88	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Professional		$257.04	$257.04	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $281.84	Facility		$131.83	$173.78	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $131.83 / $281.84	Facility		$50.12	$131.83	$281.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $162.18 / $338.84	Professional		$56.23	$162.18	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $363.08	Facility		$67.61	$114.82	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $302.00	Professional		$112.20	$177.83	$302.00