Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $121.48 / $253.94	Professional		$96.77	$121.48	$253.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $141.87 / $234.55	Professional		$110.94	$141.87	$234.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $157.30 / $290.75	Professional		$149.10	$157.30	$290.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $158.18 / $279.02	Professional		$111.41	$158.18	$279.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $145.15 / $410.06	Professional		$111.07	$145.15	$410.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $152.65 / $217.38	Facility		$112.65	$152.65	$217.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $177.78 / $282.70	Professional		$154.00	$177.78	$282.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $155.38 / $253.06	Facility		$126.19	$155.38	$253.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $155.38 / $253.06	Professional		$126.19	$155.38	$253.06
United Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $92.93 / $92.93	Facility		$92.93	$92.93	$92.93
United Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $138.82 / $218.48	Professional		$95.15	$138.82	$218.48