Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $201.13 / $268.16	Professional		$110.53	$201.13	$268.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $348.56 / $348.56	Professional		$107.43	$348.56	$348.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $214.53 / $214.53	Professional		$214.53	$214.53	$214.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.55 / $341.55 / $341.55	Facility		$341.55	$341.55	$341.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $290.94 / $364.44	Professional		$260.31	$290.94	$364.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $201.90 / $346.38	Facility		$182.03	$201.90	$346.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $413.00 / $717.77	Professional		$167.78	$413.00	$717.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.40 / $252.37 / $382.73	Facility		$194.40	$252.37	$382.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $252.37 / $382.73	Professional		$194.40	$252.37	$382.73
United Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $152.78 / $183.75	Professional		$133.55	$152.78	$183.75