Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $190.55	Facility		$79.43	$104.71	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $208.93	Professional		$79.43	$107.15	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $204.17	Professional		$102.33	$138.04	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $134.90	Professional		$95.50	$114.82	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $263.03	Professional		$97.72	$138.04	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $354.81	Professional		$104.71	$134.90	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $186.21	Professional		$93.33	$117.49	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $208.93	Facility		$97.72	$138.04	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $501.19	Facility		$97.72	$128.82	$501.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $501.19	Professional		$97.72	$128.82	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $223.87	Professional		$83.18	$128.82	$223.87