Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.75 / $86.75 / $86.75	Facility		$86.75	$86.75	$86.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $86.75 / $113.28	Professional		$54.34	$86.75	$113.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $144.22 / $144.22	Facility		$144.22	$144.22	$144.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $115.62	Professional		$115.62	$115.62	$115.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $124.23	Professional		$80.45	$94.65	$124.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $115.58 / $161.82	Professional		$101.99	$115.58	$161.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $86.75 / $166.12	Facility		$52.76	$86.75	$166.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $80.95 / $149.35	Facility		$9.83	$80.95	$149.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $61.63 / $144.69	Professional		$9.83	$61.63	$144.69
United Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $79.95 / $122.66	Professional		$69.92	$79.95	$122.66