Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $111.10 / $253.18	Facility		$92.39	$111.10	$253.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $96.73 / $116.26	Professional		$88.93	$96.73	$116.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $107.52 / $140.38	Professional		$78.09	$107.52	$140.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $98.68 / $152.94	Professional		$98.68	$98.68	$152.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $80.00 / $300.57	Facility		$72.00	$80.00	$300.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $114.76 / $208.87	Professional		$83.20	$114.76	$208.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $98.92 / $121.83	Professional		$83.30	$98.92	$121.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $111.10 / $160.75	Facility		$78.53	$111.10	$160.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $135.00 / $190.00	Professional		$113.00	$135.00	$190.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $100.67 / $228.80	Facility		$67.00	$100.67	$228.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $100.67 / $228.80	Professional		$67.00	$100.67	$228.80
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $102.97 / $183.82	Professional		$68.30	$102.97	$183.82