Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $71.50 / $104.61	Facility		$68.69	$71.50	$104.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $95.09 / $167.63	Professional		$62.31	$95.09	$167.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $102.55 / $160.54	Professional		$69.80	$102.55	$160.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $61.05 / $105.71	Professional		$54.21	$61.05	$105.71
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 / $108.63 / $199.63	Professional		$71.43	$108.63	$199.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $119.89 / $171.11	Professional		$96.96	$119.89	$171.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $100.89 / $164.38	Facility		$68.69	$100.89	$164.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $140.00 / $195.00	Professional		$120.00	$140.00	$195.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $90.05 / $145.86	Facility		$73.09	$90.05	$145.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $122.48 / $200.36	Professional		$99.91	$122.48	$200.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $110.72 / $186.06	Professional		$71.01	$110.72	$186.06