Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $150.25 / $468.00	Facility		$112.69	$150.25	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $150.25 / $245.62	Professional		$111.49	$150.25	$245.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $111.23 / $162.16	Professional		$0.02	$111.23	$162.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $174.60	Professional		$87.08	$87.08	$174.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $201.81 / $348.48	Professional		$138.26	$201.81	$348.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $184.56 / $301.73	Professional		$147.55	$184.56	$301.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.37 / $201.26 / $294.32	Facility		$144.37	$201.26	$294.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $248.00 / $339.00	Professional		$214.00	$248.00	$339.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.61 / $195.48 / $322.86	Facility		$143.61	$195.48	$322.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $231.78 / $383.26	Professional		$175.62	$231.78	$383.26
United Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $200.52 / $346.32	Professional		$136.34	$200.52	$346.32