Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $105.78 / $192.70	Facility		$79.34	$105.78	$192.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $101.22 / $193.96	Professional		$79.34	$101.22	$193.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $119.47 / $177.19	Professional		$93.42	$119.47	$177.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $99.94 / $181.49	Professional		$88.41	$99.94	$181.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $134.93 / $265.94	Professional		$97.09	$134.93	$265.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $145.60 / $352.25	Professional		$97.88	$145.60	$352.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $129.53 / $193.90	Facility		$105.78	$129.53	$193.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $149.28 / $202.00	Professional		$123.00	$149.28	$202.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $128.04 / $251.54	Facility		$100.63	$128.04	$251.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $128.04 / $251.54	Professional		$100.63	$128.04	$251.54
United Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $125.26 / $205.37	Professional		$82.64	$125.26	$205.37