Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Facility		$121.91	$121.91	$121.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $121.91 / $166.63	Professional		$97.65	$121.91	$166.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $197.24 / $197.24	Facility		$197.24	$197.24	$197.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.11 / $161.11 / $161.11	Professional		$161.11	$161.11	$161.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $125.20 / $139.62	Professional		$125.20	$125.20	$139.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $213.50	Facility		$134.41	$134.41	$213.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $162.40	Professional		$114.26	$134.41	$162.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $173.61 / $216.96	Professional		$142.97	$173.61	$216.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $108.07 / $197.24	Facility		$59.91	$108.07	$197.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Professional		$141.00	$141.00	$141.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $19.73 / $162.54	Facility		$13.02	$19.73	$162.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $22.59 / $162.54	Professional		$13.02	$22.59	$162.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $98.40 / $124.26	Professional		$79.88	$98.40	$124.26