Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $295.62 / $632.70	Facility		$86.98	$295.62	$632.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $86.98 / $147.86	Professional		$84.93	$86.98	$147.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $81.86 / $100.88	Professional		$81.86	$81.86	$100.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $93.56 / $93.56	Professional		$93.56	$93.56	$93.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $137.65 / $161.94	Professional		$82.63	$137.65	$161.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $102.33 / $143.52	Facility		$86.98	$102.33	$143.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $202.80 / $352.18	Professional		$187.00	$202.80	$352.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $97.21 / $125.35	Facility		$81.01	$97.21	$125.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $97.21 / $125.35	Professional		$81.01	$97.21	$125.35
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $102.33	Professional		$85.27	$85.27	$102.33