Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $80.64 / $118.07	Facility		$77.87	$80.64	$118.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $107.75 / $184.10	Professional		$70.37	$107.75	$184.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $116.24 / $181.39	Professional		$80.87	$116.24	$181.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $69.22 / $119.07	Professional		$61.06	$69.22	$119.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $125.70 / $226.79	Professional		$81.59	$125.70	$226.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $136.66 / $195.22	Professional		$110.62	$136.66	$195.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $116.15 / $186.46	Facility		$77.87	$116.15	$186.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $158.00 / $222.00	Professional		$138.00	$158.00	$222.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $102.58 / $165.15	Facility		$84.29	$102.58	$165.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $141.87 / $227.63	Professional		$115.90	$141.87	$227.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $130.96 / $210.80	Professional		$86.59	$130.96	$210.80