Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $83.29 / $116.05	Facility		$69.63	$83.29	$116.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $106.20 / $202.88	Professional		$74.23	$106.20	$202.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $114.58 / $179.93	Professional		$82.08	$114.58	$179.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $71.48 / $122.40	Professional		$62.77	$71.48	$122.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $140.29	Facility		$114.80	$114.80	$140.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $122.95 / $224.44	Professional		$83.41	$122.95	$224.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $134.60 / $191.98	Professional		$108.79	$134.60	$191.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $114.84 / $183.24	Facility		$80.09	$114.84	$183.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $155.00 / $219.00	Professional		$132.00	$155.00	$219.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $103.92 / $169.82	Facility		$85.20	$103.92	$169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $135.78 / $224.99	Professional		$111.64	$135.78	$224.99
United Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $123.46 / $207.51	Professional		$79.94	$123.46	$207.51