Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $104.35 / $104.35	Facility		$93.50	$104.35	$104.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $104.35 / $143.24	Professional		$77.40	$104.35	$143.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $173.48 / $184.24	Facility		$173.48	$173.48	$184.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $127.78 / $127.78	Professional		$127.78	$127.78	$127.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $149.66 / $149.66	Professional		$149.66	$149.66	$149.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $145.00	Facility		$120.30	$120.30	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $148.61	Professional		$102.26	$120.30	$148.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $149.33 / $199.10	Professional		$124.44	$149.33	$199.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $104.35 / $173.48	Facility		$77.40	$104.35	$173.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $221.90 / $221.90	Professional		$221.90	$221.90	$221.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $66.09 / $208.47	Facility		$12.52	$66.09	$208.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $78.70 / $208.47	Professional		$12.52	$78.70	$208.47
United Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $105.14 / $161.90	Professional		$89.30	$105.14	$161.90