Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.22 / $102.22 / $328.13	Facility		$102.22	$102.22	$328.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $108.64 / $149.56	Professional		$77.69	$108.64	$149.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $82.87 / $110.86	Professional		$62.10	$82.87	$110.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.45 / $189.45 / $272.81	Professional		$189.45	$189.45	$272.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $72.00 / $202.81	Facility		$70.00	$72.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $148.41 / $283.54	Professional		$99.01	$148.41	$283.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $166.79 / $220.53	Professional		$138.99	$166.79	$220.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.78 / $124.63 / $202.66	Facility		$90.78	$124.63	$202.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $251.91 / $322.74	Professional		$130.00	$251.91	$322.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.04 / $152.71 / $337.08	Facility		$105.04	$152.71	$337.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $152.71 / $337.08	Professional		$105.04	$152.71	$337.08
United Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $150.38 / $201.85	Professional		$100.46	$150.38	$201.85