Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $122.61 / $281.85	Facility		$101.38	$122.61	$281.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $108.70 / $136.81	Professional		$93.30	$108.70	$136.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $123.36 / $188.21	Professional		$95.90	$123.36	$188.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $123.58 / $252.10	Professional		$123.58	$123.58	$252.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $151.80 / $246.59	Professional		$103.48	$151.80	$246.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $118.40 / $146.59	Professional		$95.85	$118.40	$146.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $134.29 / $208.05	Facility		$101.38	$134.29	$208.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $161.21 / $219.00	Professional		$137.00	$161.21	$219.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $152.75 / $256.04	Facility		$107.92	$152.75	$256.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $152.75 / $256.04	Professional		$107.92	$152.75	$256.04
United Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $153.12 / $227.41	Professional		$92.77	$153.12	$227.41