Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $91.08 / $99.59	Facility		$91.08	$91.08	$99.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $91.49 / $116.83	Professional		$79.90	$91.49	$116.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $143.91 / $192.91	Professional		$143.91	$143.91	$192.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $83.85 / $83.85	Professional		$83.85	$83.85	$83.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $172.42 / $235.79	Professional		$125.26	$172.42	$235.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $131.41 / $218.23	Facility		$91.08	$131.41	$218.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $227.00 / $345.41	Professional		$97.15	$227.00	$345.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.04 / $173.43 / $288.52	Facility		$129.04	$173.43	$288.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $173.43 / $288.52	Professional		$129.04	$173.43	$288.52
United Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $73.52 / $122.52	Professional		$63.82	$73.52	$122.52