Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $331.13	Facility		$102.33	$134.90	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $151.36	Professional		$81.28	$114.82	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $123.03	Professional		$60.26	$89.13	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $251.19	Professional		$169.82	$190.55	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $562.34	Facility		$70.79	$117.49	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $245.47	Professional		$97.72	$141.25	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $218.78	Professional		$141.25	$165.96	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $204.17	Facility		$91.20	$131.83	$204.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $707.95	Facility		$107.15	$158.49	$707.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $707.95	Professional		$107.15	$158.49	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $194.98	Professional		$100.00	$147.91	$194.98