Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $92.80 / $108.27	Facility		$88.94	$92.80	$108.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $101.52 / $173.85	Professional		$85.26	$101.52	$173.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $119.17 / $180.62	Professional		$91.47	$119.17	$180.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $79.64 / $136.75	Professional		$70.13	$79.64	$136.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $132.57	Facility		$127.81	$127.81	$132.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $133.74 / $228.10	Professional		$93.16	$133.74	$228.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $126.25 / $192.58	Professional		$100.83	$126.25	$192.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $123.94 / $186.16	Facility		$88.94	$123.94	$186.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $155.47 / $214.00	Professional		$137.00	$155.47	$214.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $134.26 / $189.88	Facility		$102.08	$134.26	$189.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $153.85 / $218.14	Professional		$119.28	$153.85	$218.14
United Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $132.81 / $205.51	Professional		$89.06	$132.81	$205.51