Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $151.81 / $335.70	Facility		$137.72	$151.81	$335.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $144.38 / $199.31	Professional		$114.86	$144.38	$199.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $158.84 / $239.46	Professional		$122.06	$158.84	$239.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $179.04 / $349.13	Professional		$153.76	$179.04	$349.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $292.10 / $337.88	Facility		$50.39	$292.10	$337.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $200.61 / $345.91	Professional		$125.23	$200.61	$345.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $149.69 / $190.84	Professional		$124.78	$149.69	$190.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $159.04 / $259.81	Facility		$126.40	$159.04	$259.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $140.00 / $235.00	Professional		$55.00	$140.00	$235.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $138.94 / $263.06	Facility		$52.69	$138.94	$263.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $173.84 / $333.72	Professional		$59.53	$173.84	$333.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $179.20 / $298.70	Professional		$109.72	$179.20	$298.70