Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $102.33	Facility		$93.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $131.83	Professional		$74.13	$100.00	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $251.19	Professional		$147.91	$147.91	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $245.47	Professional		$123.03	$169.82	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $223.87	Facility		$85.11	$131.83	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $100.00	Professional		$83.18	$83.18	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $537.03	Facility		$102.33	$141.25	$537.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $537.03	Professional		$102.33	$138.04	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $120.23	Professional		$66.07	$75.86	$120.23