Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.61 / $104.37 / $302.47	Facility		$94.61	$104.37	$302.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $91.27 / $123.32	Professional		$75.66	$91.27	$123.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $98.19 / $131.32	Professional		$69.93	$98.19	$131.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $97.75 / $168.13	Professional		$87.98	$97.75	$168.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $99.18 / $174.17	Professional		$70.00	$99.18	$174.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $97.10 / $121.21	Professional		$78.63	$97.10	$121.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $95.46 / $136.91	Facility		$76.63	$95.46	$136.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $165.64 / $208.63	Professional		$123.44	$165.64	$208.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $119.97 / $185.28	Facility		$86.20	$119.97	$185.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $129.44 / $210.80	Professional		$94.66	$129.44	$210.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $99.46 / $174.06	Professional		$74.98	$99.46	$174.06