Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $85.72 / $85.72	Facility		$85.72	$85.72	$85.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $85.72 / $116.03	Professional		$70.63	$85.72	$116.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $142.51 / $142.51	Facility		$142.51	$142.51	$142.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $113.82 / $113.82	Professional		$113.82	$113.82	$113.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $90.18	Professional		$89.47	$89.47	$90.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $122.74	Professional		$79.48	$93.52	$122.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $112.80 / $157.91	Professional		$99.53	$112.80	$157.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $75.53 / $160.28	Facility		$43.88	$75.53	$160.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $16.62 / $123.88	Facility		$9.14	$16.62	$123.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $16.62 / $123.88	Professional		$9.14	$16.62	$123.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $73.84 / $114.70	Professional		$58.50	$73.84	$114.70