Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $100.22 / $207.61	Facility		$76.98	$100.22	$207.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $100.22 / $197.07	Professional		$79.34	$100.22	$197.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $114.30 / $172.54	Professional		$82.86	$114.30	$172.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $102.99 / $174.23	Professional		$84.88	$102.99	$174.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $132.08 / $258.91	Professional		$88.52	$132.08	$258.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $148.66 / $341.79	Professional		$100.09	$148.66	$341.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $125.68 / $188.20	Facility		$96.00	$125.68	$188.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $143.96 / $202.79	Professional		$116.00	$143.96	$202.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $126.42 / $244.89	Facility		$94.84	$126.42	$244.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $126.42 / $244.89	Professional		$94.84	$126.42	$244.89
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $116.71 / $209.07	Professional		$77.75	$116.71	$209.07