Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.65 / $100.65 / $100.65	Facility		$100.65	$100.65	$100.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $100.65 / $189.00	Professional		$75.53	$100.65	$189.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.22 / $166.22 / $166.22	Facility		$166.22	$166.22	$166.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $130.27 / $130.27	Professional		$130.27	$130.27	$130.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $153.30 / $153.30	Professional		$153.30	$153.30	$153.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $93.50 / $110.00	Professional		$13.15	$93.50	$110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $157.19 / $207.85	Professional		$131.00	$157.19	$207.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $80.06 / $191.98	Facility		$24.86	$80.06	$191.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Professional		$186.00	$186.00	$186.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $93.94 / $223.06	Facility		$11.58	$93.94	$223.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $77.34 / $212.48	Professional		$11.41	$77.34	$212.48
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $89.89 / $165.23	Professional		$72.48	$89.89	$165.23