Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $97.53 / $192.91	Facility		$89.31	$97.53	$192.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $89.31 / $89.31	Professional		$84.06	$89.31	$89.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $114.26	Professional		$84.06	$84.06	$114.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $84.06	Professional		$84.06	$84.06	$84.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $144.00 / $144.00	Professional		$132.00	$144.00	$144.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.91 / $99.82 / $141.84	Facility		$86.91	$99.82	$141.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $105.07 / $105.07	Professional		$97.86	$105.07	$105.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $100.69 / $131.34	Facility		$87.56	$100.69	$131.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $100.69 / $131.34	Professional		$87.56	$100.69	$131.34
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $92.81 / $98.49	Professional		$87.56	$92.81	$98.49