Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $131.33 / $131.33	Facility		$131.33	$131.33	$131.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $131.33 / $179.44	Professional		$95.90	$131.33	$179.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.54 / $205.54 / $205.54	Facility		$205.54	$205.54	$205.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $173.21 / $173.21	Professional		$173.21	$173.21	$173.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $189.70 / $189.86	Professional		$189.70	$189.70	$189.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $195.37	Facility		$123.98	$123.98	$195.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $127.70	Professional		$105.38	$123.98	$127.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $216.19 / $260.00	Professional		$180.16	$216.19	$260.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $99.52 / $226.25	Facility		$29.29	$99.52	$226.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $122.57 / $263.54	Facility		$14.88	$122.57	$263.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $97.60 / $255.32	Professional		$14.88	$97.60	$255.32
United Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $118.45 / $194.73	Professional		$95.51	$118.45	$194.73