Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $115.29 / $143.85	Facility		$100.13	$115.29	$143.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $122.27 / $162.24	Professional		$98.57	$122.27	$162.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $116.60 / $116.60	Facility		$116.60	$116.60	$116.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $131.58 / $171.36	Professional		$100.20	$131.58	$171.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $128.06 / $220.26	Professional		$115.25	$128.06	$220.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $145.54 / $255.00	Professional		$103.00	$145.54	$255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $126.21 / $166.75	Professional		$104.22	$126.21	$166.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $142.77 / $196.69	Facility		$114.69	$142.77	$196.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $219.00 / $291.02	Professional		$173.27	$219.00	$291.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.46 / $181.22 / $279.33	Facility		$123.46	$181.22	$279.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.42 / $187.50 / $282.70	Professional		$125.42	$187.50	$282.70
United Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $147.26 / $277.06	Professional		$98.49	$147.26	$277.06