Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Facility		$77.62	$77.62	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $112.20	Professional		$69.18	$85.11	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Facility		$144.54	$144.54	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $112.20	Professional		$81.28	$95.50	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $208.93	Professional		$97.72	$117.49	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $257.04	Professional		$134.90	$134.90	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $177.83	Facility		$74.13	$85.11	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $91.20 / $478.63	Facility		$11.22	$91.20	$478.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $91.20 / $478.63	Professional		$11.22	$91.20	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $63.10 / $95.50	Facility		$8.71	$63.10	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $165.96	Professional		$75.86	$93.33	$165.96