Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $168.83 / $216.49	Professional		$95.74	$168.83	$216.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $283.76 / $283.76	Professional		$116.61	$283.76	$283.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $180.08 / $180.08	Professional		$180.08	$180.08	$180.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $283.73	Facility		$283.73	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $244.21 / $305.89	Professional		$218.50	$244.21	$305.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $169.47 / $285.98	Facility		$143.85	$169.47	$285.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $347.00 / $602.50	Professional		$140.85	$347.00	$602.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $163.18 / $207.52 / $321.27	Facility		$163.18	$207.52	$321.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $207.52 / $321.27	Professional		$163.18	$207.52	$321.27
United Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $128.25 / $163.18	Professional		$108.72	$128.25	$163.18