Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $98.21 / $468.00	Facility		$73.66	$98.21	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $105.00 / $166.95	Professional		$72.31	$105.00	$166.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $77.56 / $106.19	Professional		$0.02	$77.56	$106.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $53.37 / $108.87	Professional		$53.37	$53.37	$108.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $133.00 / $232.83	Professional		$90.70	$133.00	$232.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $129.29 / $207.45	Professional		$104.01	$129.29	$207.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $134.57 / $201.84	Facility		$89.82	$134.57	$201.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $167.33 / $226.00	Professional		$145.00	$167.33	$226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $124.53 / $203.27	Facility		$94.14	$124.53	$203.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $159.80 / $257.31	Professional		$120.61	$159.80	$257.31
United Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $140.56 / $232.41	Professional		$93.71	$140.56	$232.41