Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $145.91 / $325.63	Facility		$125.03	$145.91	$325.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $125.40 / $163.88	Professional		$101.76	$125.40	$163.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $138.01 / $216.54	Professional		$105.27	$138.01	$216.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $131.59 / $256.60	Professional		$119.68	$131.59	$256.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $122.75 / $188.23	Facility		$115.16	$122.75	$188.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $161.44 / $303.35	Professional		$99.18	$161.44	$303.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $149.00 / $187.84	Professional		$122.82	$149.00	$187.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $145.91 / $234.63	Facility		$99.19	$145.91	$234.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $106.00 / $191.00	Professional		$72.00	$106.00	$191.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.22 / $101.76 / $222.55	Facility		$60.22	$101.76	$222.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $133.22 / $255.02	Professional		$60.58	$133.22	$255.02
United Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $150.91 / $267.11	Professional		$81.18	$150.91	$267.11