Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $154.72 / $154.72	Facility		$154.72	$154.72	$154.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $154.72 / $190.00	Professional		$108.19	$154.72	$190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $159.56	Professional		$159.56	$159.56	$159.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $171.15	Professional		$145.00	$145.00	$171.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $153.77 / $153.77	Professional		$18.59	$153.77	$153.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $220.35 / $291.36	Professional		$183.63	$220.35	$291.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $101.49 / $154.72	Facility		$25.04	$101.49	$154.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $25.04 / $206.30	Facility		$16.50	$25.04	$206.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $28.65 / $206.30	Professional		$16.50	$28.65	$206.30
United Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $104.50 / $174.17	Professional		$90.92	$104.50	$174.17