Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $92.92 / $92.92	Facility		$86.43	$92.92	$92.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $92.92 / $129.69	Professional		$84.93	$92.92	$129.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $154.47 / $164.06	Facility		$154.47	$154.47	$164.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $113.17 / $113.17	Professional		$113.17	$113.17	$113.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $131.91	Professional		$131.91	$131.91	$131.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $123.50 / $132.84	Professional		$12.35	$123.50	$132.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $122.75 / $163.66	Professional		$102.29	$122.75	$163.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $92.92 / $177.89	Facility		$84.93	$92.92	$177.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $58.85 / $222.04	Facility		$11.15	$58.85	$222.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $75.34 / $222.04	Professional		$11.15	$75.34	$222.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $105.68 / $177.63	Professional		$83.36	$105.68	$177.63