Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.89 / $87.89 / $87.89	Facility		$87.89	$87.89	$87.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $87.89 / $125.29	Professional		$76.87	$87.89	$125.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $146.13 / $146.13	Facility		$146.13	$146.13	$146.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $122.33 / $122.33	Professional		$122.33	$122.33	$122.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $136.69 / $136.69	Professional		$136.69	$136.69	$136.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $120.98	Facility		$100.30	$100.30	$120.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $131.63	Professional		$85.26	$100.30	$131.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $125.46 / $175.64	Professional		$110.70	$125.46	$175.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $84.63 / $182.90	Facility		$58.10	$84.63	$182.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Professional		$159.47	$159.47	$159.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $82.03 / $164.03	Facility		$9.96	$82.03	$164.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $63.97 / $159.31	Professional		$9.96	$63.97	$159.31
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $86.33 / $131.65	Professional		$72.56	$86.33	$131.65