Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $85.02 / $247.11	Facility		$66.89	$85.02	$247.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $100.01 / $167.03	Professional		$64.69	$100.01	$167.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $108.88 / $169.61	Professional		$78.90	$108.88	$169.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $85.84 / $167.39	Professional		$81.55	$85.84	$167.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $118.16 / $253.11	Professional		$72.68	$118.16	$253.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $104.24 / $334.13	Professional		$70.08	$104.24	$334.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $116.23 / $170.63	Facility		$79.79	$116.23	$170.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $137.00 / $192.00	Professional		$112.25	$137.00	$192.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $118.16 / $239.41	Facility		$78.77	$118.16	$239.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $118.16 / $239.41	Professional		$78.77	$118.16	$239.41
United Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $103.68 / $194.71	Professional		$65.70	$103.68	$194.71