Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.27 / $119.04 / $161.16	Facility		$114.27	$119.04	$161.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $147.91 / $260.35	Professional		$106.31	$147.91	$260.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $161.99 / $251.00	Professional		$117.14	$161.99	$251.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $101.86 / $195.04	Professional		$100.02	$101.86	$195.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $177.01 / $322.83	Professional		$120.74	$177.01	$322.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $186.72 / $265.68	Professional		$150.55	$186.72	$265.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.27 / $163.08 / $257.86	Facility		$114.27	$163.08	$257.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $221.00 / $306.00	Professional		$190.00	$221.00	$306.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.44 / $151.99 / $244.27	Facility		$126.44	$151.99	$244.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $195.59 / $314.06	Professional		$161.33	$195.59	$314.06
United Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $182.00 / $290.47	Professional		$118.27	$182.00	$290.47