Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $138.04	Professional		$83.18	$117.49	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $562.34	Professional		$478.63	$562.34	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $177.83	Professional		$114.82	$138.04	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $162.18	Facility		$100.00	$104.71	$162.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.39 / $173.78	Facility		$12.88	$22.39	$173.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $173.78	Professional		$12.88	$22.39	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $58.88 / $107.15	Facility		$6.61	$58.88	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $151.36	Professional		$79.43	$93.33	$151.36