Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $105.63 / $105.63	Facility		$105.63	$105.63	$105.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $105.63 / $141.69	Professional		$74.23	$105.63	$141.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.61 / $175.61 / $175.61	Facility		$175.61	$175.61	$175.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $140.29 / $140.29	Professional		$140.29	$140.29	$140.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $146.96 / $146.96	Professional		$146.96	$146.96	$146.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Facility		$115.51	$115.51	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $151.61	Professional		$98.18	$115.51	$151.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $145.00 / $191.72	Professional		$120.83	$145.00	$191.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $105.63 / $226.91	Facility		$72.06	$105.63	$226.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $331.55 / $331.55	Professional		$331.55	$331.55	$331.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $98.59 / $224.39	Facility		$11.97	$98.59	$224.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $77.61 / $219.79	Professional		$11.26	$77.61	$219.79
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $103.04 / $154.50	Professional		$86.74	$103.04	$154.50