Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $86.24 / $146.38	Facility		$65.03	$86.24	$146.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $85.22 / $119.48	Professional		$67.34	$85.22	$119.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $85.73 / $85.73	Facility		$85.73	$85.73	$85.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $92.20 / $122.03	Professional		$69.89	$92.20	$122.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $99.76 / $188.55	Professional		$99.76	$99.76	$188.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Facility		$130.25	$130.25	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $98.00 / $144.87	Professional		$70.00	$98.00	$144.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $86.96 / $107.67	Professional		$69.98	$86.96	$107.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $98.21 / $140.27	Facility		$73.86	$98.21	$140.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $127.57 / $179.00	Professional		$113.00	$127.57	$179.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $114.48 / $178.36	Facility		$79.70	$114.48	$178.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $132.60 / $210.34	Professional		$89.31	$132.60	$210.34
United Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $108.92 / $189.84	Professional		$79.22	$108.92	$189.84