Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $110.32 / $271.61	Facility		$85.96	$110.32	$271.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $103.21 / $160.16	Professional		$83.09	$103.21	$160.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $89.77 / $131.61	Professional		$0.02	$89.77	$131.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $109.28 / $213.10	Professional		$103.82	$109.28	$213.10
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 $82.79 / $138.72 / $293.62	Professional		$82.79	$138.72	$293.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $113.04 / $369.46	Professional		$76.00	$113.04	$369.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.87 / $117.15 / $199.72	Facility		$83.87	$117.15	$199.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $150.00 / $205.75	Professional		$123.00	$150.00	$205.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $138.26 / $262.44	Facility		$97.94	$138.26	$262.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $138.71 / $262.44	Professional		$97.94	$138.71	$262.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $125.05 / $225.26	Professional		$79.83	$125.05	$225.26