Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $110.92 / $354.94	Facility		$82.58	$110.92	$354.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $86.70 / $166.72	Professional		$82.57	$86.70	$166.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $120.35 / $181.62	Professional		$105.76	$120.35	$181.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $82.57	Facility		$77.90	$77.90	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $99.10 / $130.53	Professional		$70.19	$99.10	$130.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $82.58 / $142.97	Facility		$77.55	$82.58	$142.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $82.58 / $105.70	Facility		$78.45	$82.58	$105.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $82.58 / $105.70	Professional		$78.45	$82.58	$105.70
United Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $82.58 / $103.64	Professional		$81.25	$82.58	$103.64