Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $100.00	Facility		$87.10	$91.20	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $229.09	Professional		$83.18	$107.15	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $204.17	Professional		$97.72	$128.82	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $107.15	Professional		$72.44	$75.86	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $147.91	Facility		$131.83	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $199.53	Professional		$91.20	$125.89	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $186.21	Professional		$87.10	$125.89	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $186.21	Professional		$120.23	$147.91	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $194.98	Facility		$87.10	$123.03	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $177.83	Professional		$79.43	$117.49	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $186.21	Facility		$97.72	$128.82	$186.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $208.93	Professional		$112.20	$144.54	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $190.55	Professional		$83.18	$117.49	$190.55