Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $190.55	Professional		$151.36	$158.49	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $257.04	Professional		$151.36	$151.36	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $257.04	Facility		$141.25	$177.83	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $190.55	Professional		$109.65	$190.55	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Facility		$114.82	$138.04	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Professional		$114.82	$138.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $165.96	Professional		$125.89	$158.49	$165.96