Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.69 / $90.69 / $99.16	Facility		$90.69	$90.69	$99.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $90.69 / $111.06	Professional		$80.94	$90.69	$111.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $93.64 / $117.05	Professional		$93.64	$93.64	$117.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $100.30	Professional		$81.92	$81.92	$100.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $103.71	Professional		$74.93	$74.93	$103.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $132.06 / $176.08	Professional		$102.71	$132.06	$176.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $96.74 / $167.58	Facility		$40.18	$96.74	$167.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $192.73 / $244.41	Professional		$95.00	$192.73	$244.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $115.79 / $200.61	Facility		$96.74	$115.79	$200.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $115.79 / $200.61	Professional		$96.74	$115.79	$200.61
United Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $72.59 / $97.64	Facility		$46.99	$72.59	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $73.20 / $110.28	Professional		$59.21	$73.20	$110.28