Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $71.50 / $104.25	Facility		$68.69	$71.50	$104.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $94.79 / $170.12	Professional		$62.88	$94.79	$170.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $102.22 / $160.03	Professional		$69.80	$102.22	$160.03
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 / $108.62 / $198.96	Professional		$71.43	$108.62	$198.96
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 / $163.86	Facility		$68.69	$100.89	$163.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $139.00 / $194.00	Professional		$119.00	$139.00	$194.00
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 $99.20 / $122.06 / $199.69	Professional		$99.20	$122.06	$199.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $113.20 / $195.43	Professional		$75.14	$113.20	$195.43