Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.87 / $111.14 / $351.93	Facility		$60.87	$111.14	$351.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $98.16 / $153.12	Professional		$77.09	$98.16	$153.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $207.12 / $333.74	Facility		$98.16	$207.12	$333.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $114.26 / $172.43	Professional		$100.41	$114.26	$172.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $103.33 / $117.79	Professional		$83.44	$103.33	$117.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $100.65	Facility		$98.16	$98.16	$100.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $94.35 / $126.92	Facility		$83.50	$94.35	$126.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $94.35 / $126.92	Professional		$83.50	$94.35	$126.92
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $103.33 / $103.48	Professional		$86.23	$103.33	$103.48