Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $114.45 / $227.59	Facility		$99.97	$114.45	$227.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $104.97 / $104.97	Professional		$99.97	$104.97	$104.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $210.94 / $339.90	Facility		$99.97	$210.94	$339.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $154.65 / $233.39	Professional		$135.91	$154.65	$233.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $94.31 / $99.97	Facility		$94.31	$94.31	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $117.42 / $119.96	Professional		$84.97	$117.42	$119.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $159.87	Facility		$99.97	$99.97	$159.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $99.81 / $127.96	Facility		$94.05	$99.81	$127.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $99.81 / $127.96	Professional		$94.05	$99.81	$127.96
United Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $99.97 / $125.46	Professional		$98.36	$99.97	$125.46