Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $114.82	Facility		$77.62	$91.20	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $165.96	Professional		$81.28	$107.15	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $199.53	Professional		$79.43	$141.25	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $177.83	Professional		$125.89	$134.90	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $218.78	Professional		$85.11	$128.82	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $165.96	Professional		$93.33	$125.89	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $190.55	Facility		$102.33	$134.90	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $109.65	Professional		$85.11	$85.11	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $223.87	Facility		$107.15	$147.91	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $229.09	Professional		$117.49	$151.36	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $218.78	Professional		$85.11	$125.89	$218.78