Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $116.13 / $137.80	Professional		$65.28	$116.13	$137.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $193.49 / $193.49	Professional		$67.31	$193.49	$193.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.86 / $123.86 / $123.86	Professional		$123.86	$123.86	$123.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.29 / $203.29 / $203.29	Facility		$203.29	$203.29	$203.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $167.98 / $210.42	Professional		$150.30	$167.98	$210.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $116.58 / $197.56	Facility		$101.05	$116.58	$197.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $239.00 / $414.43	Professional		$96.87	$239.00	$414.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $142.72 / $220.98	Facility		$112.22	$142.72	$220.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $142.72 / $220.98	Professional		$112.22	$142.72	$220.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $88.22 / $106.35	Professional		$74.14	$88.22	$106.35