Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $91.14 / $128.93	Facility		$87.38	$91.14	$128.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $117.57 / $221.03	Professional		$82.15	$117.57	$221.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $128.27 / $200.96	Professional		$92.02	$128.27	$200.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $78.22 / $135.35	Professional		$69.41	$78.22	$135.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $138.36 / $248.66	Professional		$91.93	$138.36	$248.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $149.15 / $212.83	Professional		$120.60	$149.15	$212.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $128.88 / $203.20	Facility		$87.38	$128.88	$203.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $173.00 / $243.00	Professional		$151.00	$173.00	$243.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $116.06 / $187.09	Facility		$94.96	$116.06	$187.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $155.66 / $249.57	Professional		$126.23	$155.66	$249.57
United Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $140.97 / $230.02	Professional		$95.41	$140.97	$230.02