Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $80.48 / $95.03	Facility		$71.02	$80.48	$95.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $91.93 / $130.85	Professional		$71.02	$91.93	$130.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $65.94 / $65.94	Facility		$65.94	$65.94	$65.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $114.76 / $129.11	Professional		$71.70	$114.76	$129.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $110.87 / $190.70	Professional		$110.87	$110.87	$190.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $96.00 / $159.66	Professional		$61.21	$96.00	$159.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $95.46 / $126.22	Professional		$74.25	$95.46	$126.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $101.31 / $151.19	Facility		$86.34	$101.31	$151.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $134.40 / $187.00	Professional		$105.82	$134.40	$187.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $131.16 / $207.92	Facility		$95.34	$131.16	$207.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $132.07 / $209.59	Professional		$95.42	$132.07	$209.59
United Facility/Professional Facility Modifier Low / Median / High Price $88.21 / $88.21 / $97.03	Facility		$88.21	$88.21	$97.03
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $104.74 / $172.24	Professional		$73.16	$104.74	$172.24