Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.79 / $142.79 / $156.12	Facility		$142.79	$142.79	$156.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $146.65 / $183.16	Professional		$132.54	$146.65	$183.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.61 / $225.61 / $302.39	Professional		$225.61	$225.61	$302.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $131.44 / $131.44	Professional		$131.44	$131.44	$131.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $270.29 / $369.63	Professional		$196.37	$270.29	$369.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.79 / $186.10 / $309.54	Facility		$142.79	$186.10	$309.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $356.00 / $541.46	Professional		$152.30	$356.00	$541.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $225.61 / $386.58	Facility		$182.85	$225.61	$386.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $225.03 / $386.58	Professional		$183.53	$225.03	$386.58
United Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $115.25 / $192.07	Professional		$101.15	$115.25	$192.07