Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $117.26 / $271.24	Facility		$99.00	$117.26	$271.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $104.74 / $136.49	Professional		$96.38	$104.74	$136.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $121.04 / $184.68	Professional		$94.10	$121.04	$184.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $125.59 / $244.90	Professional		$125.59	$125.59	$244.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $146.25 / $250.35	Professional		$101.45	$146.25	$250.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $112.68 / $146.47	Professional		$95.78	$112.68	$146.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $127.81 / $188.33	Facility		$98.63	$127.81	$188.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $156.51 / $245.98	Professional		$135.00	$156.51	$245.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $146.30 / $247.18	Facility		$107.48	$146.30	$247.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $146.30 / $247.18	Professional		$107.48	$146.30	$247.18
United Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $151.52 / $230.89	Professional		$90.90	$151.52	$230.89