Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $190.18 / $218.90	Professional		$151.80	$190.18	$218.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.83 / $221.65 / $366.45	Professional		$173.83	$221.65	$366.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.27 / $169.27 / $330.08	Professional		$169.27	$169.27	$330.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $220.41 / $332.61	Professional		$176.33	$220.41	$332.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $214.92 / $348.25	Facility		$159.19	$214.92	$348.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $238.72 / $280.77 / $442.87	Professional		$238.72	$280.77	$442.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $234.73 / $399.40	Facility		$192.22	$234.73	$399.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $234.73 / $399.40	Professional		$192.22	$234.73	$399.40
United Facility/Professional Facility Modifier Low / Median / High Price $138.11 / $138.11 / $138.11	Facility		$138.11	$138.11	$138.11
United Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $218.14 / $358.20	Professional		$150.28	$218.14	$358.20