Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $147.47 / $177.86	Professional		$80.43	$147.47	$177.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $238.36 / $238.36	Professional		$91.18	$238.36	$238.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $163.01 / $163.01	Professional		$163.01	$163.01	$163.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $87.87	Professional		$87.87	$87.87	$87.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $221.07 / $276.91	Professional		$197.80	$221.07	$276.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.49 / $153.40 / $258.86	Facility		$124.49	$153.40	$258.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $314.00 / $545.40	Professional		$127.48	$314.00	$545.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $187.83 / $290.81	Facility		$147.69	$187.83	$290.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $187.83 / $290.81	Professional		$147.69	$187.83	$290.81
United Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $116.09 / $139.91	Professional		$91.33	$116.09	$139.91