Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $216.72 / $433.44	Facility		$108.36	$216.72	$433.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $108.36 / $108.36	Professional		$105.81	$108.36	$108.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $101.98 / $125.39	Professional		$101.98	$101.98	$125.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $167.49 / $170.53	Professional		$118.97	$167.49	$170.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $127.48 / $178.79	Facility		$71.90	$127.48	$178.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $198.00 / $271.20	Professional		$164.55	$198.00	$271.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $121.11 / $156.16	Facility		$100.93	$121.11	$156.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $121.11 / $156.16	Professional		$100.93	$121.11	$156.16
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $127.48	Professional		$106.24	$106.24	$127.48