Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $69.88 / $85.36	Facility		$67.09	$69.88	$85.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $79.36 / $135.58	Professional		$64.70	$79.36	$135.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $90.94 / $139.10	Professional		$69.26	$90.94	$139.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $59.67 / $102.82	Professional		$52.73	$59.67	$102.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $104.10	Facility		$94.69	$94.69	$104.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $102.78 / $178.64	Professional		$71.26	$102.78	$178.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $98.09 / $149.80	Professional		$78.43	$98.09	$149.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $94.34 / $145.22	Facility		$67.09	$94.34	$145.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $121.42 / $167.05	Professional		$107.00	$121.42	$167.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $102.15 / $143.68	Facility		$76.30	$102.15	$143.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $119.14 / $170.33	Professional		$93.26	$119.14	$170.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $99.67 / $157.08	Professional		$69.86	$99.67	$157.08