Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $102.14 / $102.14	Facility		$102.14	$102.14	$102.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $102.14 / $137.94	Professional		$63.57	$102.14	$137.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $169.81 / $169.81	Facility		$169.81	$169.81	$169.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $131.88 / $131.88	Professional		$131.88	$131.88	$131.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $125.86 / $125.86	Professional		$125.86	$125.86	$125.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $144.38	Professional		$98.52	$115.90	$144.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $138.38 / $183.74	Professional		$115.80	$138.38	$183.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $102.14 / $214.71	Facility		$61.72	$102.14	$214.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $161.36 / $161.36	Professional		$161.36	$161.36	$161.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $20.80 / $168.05	Facility		$11.58	$20.80	$168.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $20.80 / $168.05	Professional		$11.58	$20.80	$168.05
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $96.82 / $138.03	Professional		$83.39	$96.82	$138.03