Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $119.87 / $119.87	Facility		$119.87	$119.87	$119.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $119.87 / $164.40	Professional		$99.88	$119.87	$164.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.28 / $199.28 / $199.28	Facility		$199.28	$199.28	$199.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $159.02 / $159.02	Professional		$159.02	$159.02	$159.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $136.54 / $136.54	Professional		$136.54	$136.54	$136.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $171.51	Professional		$111.08	$130.68	$171.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $158.05 / $218.92	Professional		$137.97	$158.05	$218.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $133.96 / $233.92	Facility		$119.87	$133.96	$233.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $186.71 / $186.71	Professional		$186.71	$186.71	$186.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.51 / $194.22	Facility		$13.49	$23.51	$194.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.51 / $192.77	Professional		$13.49	$23.51	$192.77
United Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $107.90 / $161.88	Professional		$95.39	$107.90	$161.88