Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $120.23	Facility		$91.20	$93.33	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $302.00	Professional		$91.20	$158.49	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $239.88	Professional		$102.33	$147.91	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $112.20	Professional		$75.86	$79.43	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Facility		$151.36	$151.36	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $234.42	Professional		$95.50	$138.04	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $218.78	Professional		$100.00	$154.88	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $173.78	Professional		$112.20	$141.25	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $218.78	Facility		$89.13	$134.90	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $199.53	Professional		$64.57	$120.23	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $186.21	Facility		$97.72	$114.82	$186.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $251.19	Professional		$128.82	$151.36	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $208.93	Professional		$83.18	$125.89	$208.93