Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $111.01 / $451.81	Facility		$108.66	$111.01	$451.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $108.66 / $115.45	Professional		$75.34	$108.66	$115.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $113.19 / $158.25	Professional		$86.25	$113.19	$158.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $116.51	Professional		$61.00	$61.00	$116.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $112.99 / $187.73	Professional		$90.39	$112.99	$187.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $111.01 / $179.29	Facility		$75.55	$111.01	$179.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $166.74 / $223.25	Professional		$80.73	$166.74	$223.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $115.89 / $214.29	Facility		$63.55	$115.89	$214.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $115.89 / $214.29	Professional		$63.55	$115.89	$214.29
United Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $107.61 / $194.25	Professional		$69.06	$107.61	$194.25