Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.34 / $164.34 / $179.69	Facility		$164.34	$164.34	$179.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $164.34 / $201.27	Professional		$78.05	$164.34	$201.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $114.18 / $174.04	Professional		$114.18	$114.18	$174.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $188.23 / $188.23	Professional		$188.23	$188.23	$188.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $159.74 / $311.60	Facility		$159.74	$159.74	$311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $311.10 / $425.44	Professional		$226.02	$311.10	$425.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $203.05 / $333.03	Facility		$163.53	$203.05	$333.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $410.00 / $623.21	Professional		$175.30	$410.00	$623.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $234.07 / $411.01	Facility		$190.30	$234.07	$411.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $234.07 / $411.01	Professional		$190.30	$234.07	$411.01
United Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $132.65 / $209.33	Professional		$119.89	$132.65	$209.33