Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $105.59 / $105.59	Facility		$105.59	$105.59	$105.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $105.59 / $146.18	Professional		$73.28	$105.59	$146.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.54 / $175.54 / $175.54	Facility		$175.54	$175.54	$175.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $139.44 / $139.44	Professional		$139.44	$139.44	$139.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $145.08 / $145.08	Professional		$145.08	$145.08	$145.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $150.25	Professional		$97.30	$114.47	$150.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $144.81 / $194.42	Professional		$122.54	$144.81	$194.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $105.59 / $223.99	Facility		$71.15	$105.59	$223.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $167.00 / $167.00	Professional		$167.00	$167.00	$167.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $98.55 / $201.38	Facility		$11.97	$98.55	$201.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $77.29 / $195.10	Professional		$11.97	$77.29	$195.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $102.26 / $153.84	Professional		$87.07	$102.26	$153.84