Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $106.04 / $125.10	Professional		$65.14	$106.04	$125.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $139.52 / $139.52	Professional		$57.33	$139.52	$139.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $100.08 / $100.08	Professional		$100.08	$100.08	$100.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $167.42 / $167.42	Facility		$167.42	$167.42	$167.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $135.72 / $170.02	Professional		$121.44	$135.72	$170.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $103.21 / $142.87	Facility		$88.30	$103.21	$142.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $193.00 / $334.85	Professional		$78.27	$193.00	$334.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.72 / $135.97 / $325.00	Facility		$76.72	$135.97	$325.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $135.97 / $325.00	Professional		$76.72	$135.97	$325.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $71.27 / $100.63	Professional		$60.58	$71.27	$100.63