Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $71.50 / $109.29	Facility		$68.69	$71.50	$109.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $98.88 / $185.79	Professional		$62.92	$98.88	$185.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $106.88 / $167.32	Professional		$71.42	$106.88	$167.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $61.05 / $116.80	Professional		$59.90	$61.05	$116.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $114.54 / $207.52	Professional		$71.43	$114.54	$207.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $125.84 / $179.78	Professional		$100.17	$125.84	$179.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $104.81 / $174.30	Facility		$68.69	$104.81	$174.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $147.00 / $203.00	Professional		$127.00	$147.00	$203.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $90.05 / $145.86	Facility		$73.70	$90.05	$145.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $131.36 / $208.34	Professional		$107.13	$131.36	$208.34
United Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $123.11 / $207.42	Professional		$81.14	$123.11	$207.42