Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $98.27 / $111.65	Facility		$92.03	$98.27	$111.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.74 / $111.65	Professional		$92.03	$92.74	$111.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $110.94 / $167.26	Professional		$77.18	$110.94	$167.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $111.32 / $217.07	Professional		$111.32	$111.32	$217.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $109.16 / $109.16	Facility		$92.03	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $111.65 / $155.44	Professional		$93.04	$111.65	$155.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $100.91 / $159.66	Facility		$92.03	$100.91	$159.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $165.00 / $229.01	Professional		$126.00	$165.00	$229.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $116.09 / $181.74	Facility		$73.31	$116.09	$181.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $116.09 / $181.74	Professional		$73.31	$116.09	$181.74
United Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $100.49 / $162.94	Professional		$70.47	$100.49	$162.94