Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $218.78	Facility		$77.62	$100.00	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $229.09	Professional		$77.62	$107.15	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $204.17	Professional		$100.00	$138.04	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $138.04	Professional		$89.13	$114.82	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $257.04	Professional		$91.20	$134.90	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $338.84	Professional		$104.71	$134.90	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $158.49	Professional		$97.72	$123.03	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $199.53	Facility		$102.33	$134.90	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $104.71	Professional		$70.79	$104.71	$104.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $489.78	Facility		$89.13	$128.82	$489.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $489.78	Professional		$89.13	$128.82	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $218.78	Professional		$74.13	$120.23	$218.78