Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $182.99 / $356.13	Facility		$87.50	$182.99	$356.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $82.58 / $104.67	Professional		$66.65	$82.58	$104.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $87.64 / $146.30	Professional		$68.53	$87.64	$146.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $89.57 / $174.66	Professional		$85.70	$89.57	$174.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.49 / $81.28 / $220.08	Facility		$41.49	$81.28	$220.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $98.61 / $178.99	Professional		$67.65	$98.61	$178.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $82.11 / $142.68	Professional		$65.69	$82.11	$142.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $97.47 / $149.28	Facility		$65.59	$97.47	$149.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $113.00 / $159.80	Professional		$92.00	$113.00	$159.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $114.19 / $185.01	Facility		$74.20	$114.19	$185.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $114.19 / $185.01	Professional		$74.20	$114.19	$185.01
United Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $88.53 / $150.33	Professional		$63.04	$88.53	$150.33