Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $295.12 / $1,584.89	Facility		$87.10	$295.12	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $549.54	Professional		$81.28	$85.11	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $165.96	Professional		$83.18	$114.82	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $151.36	Facility		$85.11	$102.33	$151.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $125.89	Facility		$81.28	$97.72	$125.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $125.89	Professional		$81.28	$97.72	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $263.03	Facility		$102.33	$102.33	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33