Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $90.14 / $122.90	Facility		$86.74	$90.14	$122.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $113.16 / $213.65	Professional		$80.22	$113.16	$213.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.26 / $192.48	Professional		$89.13	$123.26	$192.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $77.68 / $133.41	Professional		$68.42	$77.68	$133.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $148.83	Facility		$124.66	$124.66	$148.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $133.91 / $242.40	Professional		$91.80	$133.91	$242.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $143.02 / $203.71	Professional		$115.43	$143.02	$203.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $122.90 / $195.06	Facility		$86.74	$122.90	$195.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $165.00 / $233.00	Professional		$145.00	$165.00	$233.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.26 / $114.85 / $185.08	Facility		$93.26	$114.85	$185.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $146.11 / $239.59	Professional		$119.97	$146.11	$239.59
United Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $135.33 / $232.65	Professional		$86.82	$135.33	$232.65