Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $99.22 / $124.19	Facility		$87.55	$99.22	$124.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $109.52 / $150.00	Professional		$87.55	$109.52	$150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.68 / $110.68 / $110.68	Facility		$110.68	$110.68	$110.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $120.26 / $159.61	Professional		$88.13	$120.26	$159.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $120.06 / $206.50	Professional		$108.05	$120.06	$206.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $119.00 / $173.81	Professional		$90.00	$119.00	$173.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $115.81 / $148.57	Professional		$92.86	$115.81	$148.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.46 / $124.19 / $171.17	Facility		$99.46	$124.19	$171.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $208.97 / $256.97	Professional		$157.00	$208.97	$256.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.25 / $153.41 / $234.69	Facility		$106.25	$153.41	$234.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $165.09 / $264.14	Professional		$114.23	$165.09	$264.14
United Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $132.33 / $232.40	Professional		$97.14	$132.33	$232.40