Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $182.13 / $234.93	Professional		$99.33	$182.13	$234.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $294.39 / $294.39	Professional		$107.89	$294.39	$294.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.54 / $196.54 / $196.54	Professional		$196.54	$196.54	$196.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $303.08 / $303.08	Facility		$303.08	$303.08	$303.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.48 / $266.52 / $333.87	Professional		$238.48	$266.52	$333.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.04 / $184.96 / $312.12	Facility		$145.04	$184.96	$312.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $379.00 / $657.55	Professional		$153.71	$379.00	$657.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $178.09 / $226.47 / $350.63	Facility		$178.09	$226.47	$350.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $226.47 / $350.63	Professional		$178.09	$226.47	$350.63
United Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $139.97 / $168.71	Professional		$112.80	$139.97	$168.71