Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $122.00 / $354.99	Facility		$120.83	$122.00	$354.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $120.82 / $151.82	Professional		$76.76	$120.82	$151.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $138.19 / $191.88	Professional		$107.03	$138.19	$191.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $119.80 / $137.77	Professional		$115.79	$119.80	$137.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $154.08 / $200.48	Facility		$69.76	$154.08	$200.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $114.36 / $234.43	Professional		$46.50	$114.36	$234.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $142.09 / $165.12	Professional		$122.73	$142.09	$165.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $120.83 / $162.29	Facility		$57.42	$120.83	$162.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $103.00 / $207.04	Professional		$87.00	$103.00	$207.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $121.45 / $286.25	Facility		$53.63	$121.45	$286.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $121.45 / $286.25	Professional		$53.63	$121.45	$286.25
United Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $115.90 / $276.98	Facility		$104.58	$115.90	$276.98
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $108.43 / $197.92	Professional		$50.72	$108.43	$197.92