Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $93.88 / $93.88	Facility		$89.41	$93.88	$93.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $93.88	Professional		$89.41	$89.41	$93.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $119.84	Professional		$89.41	$89.41	$119.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $191.25 / $191.25	Professional		$191.25	$191.25	$191.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $89.41	Facility		$84.35	$84.35	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $89.41 / $202.60	Professional		$76.00	$89.41	$202.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $93.88 / $163.62	Facility		$89.41	$93.88	$163.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $152.00 / $207.65	Professional		$102.00	$152.00	$207.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.57 / $96.54 / $189.89	Facility		$88.57	$96.54	$189.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $96.54 / $189.89	Professional		$88.57	$96.54	$189.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $98.32	Professional		$89.41	$89.41	$98.32