Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $119.26 / $119.26	Facility		$119.26	$119.26	$119.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $119.26 / $171.98	Professional		$118.46	$119.26	$171.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.27 / $198.27 / $198.27	Facility		$198.27	$198.27	$198.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $152.21 / $152.21	Professional		$152.21	$152.21	$152.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $214.02 / $221.51	Professional		$214.02	$214.02	$221.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $214.48	Facility		$126.72	$126.72	$214.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $169.65	Professional		$107.71	$126.72	$169.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $165.33 / $218.60	Professional		$137.78	$165.33	$218.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $125.57 / $376.16	Facility		$119.48	$125.57	$376.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $327.97 / $327.97	Professional		$327.97	$327.97	$327.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $111.31 / $337.34	Facility		$13.52	$111.31	$337.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $100.12 / $320.64	Professional		$13.52	$100.12	$320.64
United Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $143.71 / $227.33	Professional		$113.64	$143.71	$227.33