Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $145.83 / $316.74	Facility		$145.83	$145.83	$316.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $145.83 / $169.06	Professional		$139.31	$145.83	$169.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $178.18 / $247.40	Professional		$137.99	$178.18	$247.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $154.02 / $177.12	Professional		$154.02	$154.02	$177.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $310.12 / $480.66	Facility		$171.12	$310.12	$480.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $156.41 / $302.83	Professional		$82.12	$156.41	$302.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $182.96 / $212.59	Professional		$158.00	$182.96	$212.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $152.77 / $208.90	Facility		$109.12	$152.77	$208.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $177.10 / $315.00	Professional		$158.00	$177.10	$315.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.08 / $171.23 / $356.22	Facility		$93.08	$171.23	$356.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $171.23 / $356.22	Professional		$93.08	$171.23	$356.22
United Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $139.58 / $242.70	Professional		$88.08	$139.58	$242.70