Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $180.86	Facility		$73.81	$73.81	$180.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Professional		$73.81	$73.81	$73.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $155.76 / $250.99	Facility		$73.81	$155.76	$250.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $66.43 / $66.43	Professional		$66.43	$66.43	$66.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $114.91 / $173.40	Professional		$100.98	$114.91	$173.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $88.58 / $107.40	Professional		$62.75	$88.58	$107.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $112.43	Facility		$73.81	$73.81	$112.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $73.81 / $95.31	Facility		$69.39	$73.81	$95.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $73.81 / $95.31	Professional		$69.39	$73.81	$95.31
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $88.58	Professional		$73.81	$77.70	$88.58