Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.30 / $154.19 / $154.19	Facility		$113.30	$154.19	$154.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $154.19 / $183.00	Professional		$113.30	$154.19	$183.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $194.57	Professional		$194.57	$194.57	$194.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $199.70 / $199.70	Professional		$199.70	$199.70	$199.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $152.03 / $178.86	Professional		$20.14	$152.03	$178.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $245.78 / $330.69	Professional		$203.00	$245.78	$330.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $132.97 / $205.90	Facility		$25.64	$132.97	$205.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $248.00	Professional		$248.00	$248.00	$248.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $97.64 / $330.88	Facility		$18.50	$97.64	$330.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $120.45 / $330.88	Professional		$18.50	$120.45	$330.88
United Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $134.84 / $215.25	Professional		$108.74	$134.84	$215.25