Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.75 / $133.44 / $407.83	Facility		$117.75	$133.44	$407.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $152.68 / $243.00	Professional		$116.76	$152.68	$243.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $132.94 / $168.22	Professional		$0.02	$132.94	$168.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $136.16 / $279.14	Professional		$129.36	$136.16	$279.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $196.68 / $369.99	Professional		$132.00	$196.68	$369.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $174.30 / $551.58	Professional		$117.17	$174.30	$551.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $200.18 / $287.31	Facility		$150.66	$200.18	$287.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $223.00 / $317.00	Professional		$186.00	$223.00	$317.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $211.06 / $418.83	Facility		$137.81	$211.06	$418.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $211.06 / $418.83	Professional		$137.81	$211.06	$418.83
United Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $191.93 / $328.57	Professional		$122.97	$191.93	$328.57