Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $133.31 / $278.77	Professional		$105.07	$133.31	$278.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $155.63 / $257.30	Professional		$121.70	$155.63	$257.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $158.76 / $309.58	Professional		$158.76	$158.76	$309.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $174.39 / $307.54	Professional		$123.10	$174.39	$307.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $159.85 / $450.55	Professional		$122.32	$159.85	$450.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.81 / $169.22 / $238.91	Facility		$123.81	$169.22	$238.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $195.45 / $310.99	Professional		$174.00	$195.45	$310.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $172.22 / $280.36	Facility		$139.08	$172.22	$280.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $172.22 / $280.36	Professional		$139.08	$172.22	$280.36
United Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $154.38 / $243.92	Professional		$105.90	$154.38	$243.92