Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $184.10 / $361.00	Facility		$75.87	$184.10	$361.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $83.29 / $122.28	Professional		$75.11	$83.29	$122.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $93.41 / $132.06	Professional		$75.29	$93.41	$132.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $103.43 / $195.48	Professional		$103.43	$103.43	$195.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $101.85 / $161.84	Professional		$81.20	$101.85	$161.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $86.39 / $115.22	Professional		$77.84	$86.39	$115.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $108.47 / $154.83	Facility		$78.26	$108.47	$154.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $117.00 / $157.00	Professional		$113.00	$117.00	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $110.06 / $161.47	Facility		$61.23	$110.06	$161.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $110.06 / $161.47	Professional		$61.23	$110.06	$161.47
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $114.66 / $170.21	Professional		$70.16	$114.66	$170.21