Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $91.53 / $115.64	Facility		$77.67	$91.53	$115.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $103.56 / $144.10	Professional		$80.76	$103.56	$144.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $122.40 / $122.40	Facility		$122.40	$122.40	$122.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $126.55 / $159.35	Professional		$60.80	$126.55	$159.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $126.64 / $239.35	Professional		$126.64	$126.64	$239.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.15 / $187.15 / $187.15	Facility		$187.15	$187.15	$187.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $130.21 / $215.32	Professional		$84.68	$130.21	$215.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $121.01 / $153.74	Professional		$97.26	$121.01	$153.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $119.78 / $176.29	Facility		$96.04	$119.78	$176.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $153.00 / $254.88	Professional		$136.00	$153.00	$254.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $161.58 / $228.06	Facility		$108.22	$161.58	$228.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $170.24 / $257.51	Professional		$115.94	$170.24	$257.51
United Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $126.60 / $211.23	Professional		$84.49	$126.60	$211.23