Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $724.44	Facility		$107.15	$218.78	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $478.63	Professional		$100.00	$107.15	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $169.82	Professional		$102.33	$102.33	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $177.83	Professional		$120.23	$169.82	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $186.21	Facility		$102.33	$128.82	$186.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $154.88	Facility		$100.00	$120.23	$154.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $154.88	Professional		$100.00	$120.23	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $186.21	Facility		$128.82	$128.82	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Professional		$107.15	$107.15	$128.82