Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $119.34 / $119.34	Facility		$119.34	$119.34	$119.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $119.34 / $161.41	Professional		$102.51	$119.34	$161.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.41 / $198.41 / $198.41	Facility		$198.41	$198.41	$198.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $148.43 / $148.43	Professional		$148.43	$148.43	$148.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $182.07 / $197.97	Professional		$182.07	$182.07	$197.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $170.42	Facility		$123.59	$123.59	$170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $162.21	Professional		$105.05	$123.59	$162.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.87 / $153.44 / $202.88	Professional		$127.87	$153.44	$202.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $112.23 / $269.83	Facility		$100.84	$112.23	$269.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Professional		$202.00	$202.00	$202.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $111.38 / $242.62	Facility		$13.52	$111.38	$242.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $89.09 / $235.04	Professional		$13.52	$89.09	$235.04
United Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $121.97 / $204.13	Professional		$101.08	$121.97	$204.13