Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $141.25	Facility		$134.90	$134.90	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $234.42	Professional		$138.04	$138.04	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $213.80	Professional		$125.89	$125.89	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Facility		$125.89	$125.89	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $141.25 / $251.19	Facility		$134.90	$141.25	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $134.90	Professional		$109.65	$134.90	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $181.97	Facility		$117.49	$141.25	$181.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $181.97	Professional		$117.49	$141.25	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $138.04	Professional		$125.89	$134.90	$138.04