Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $86.99 / $172.96	Facility		$75.86	$86.99	$172.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.65 / $79.65	Professional		$75.86	$79.65	$79.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $160.06 / $257.92	Facility		$75.86	$160.06	$257.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $105.48 / $159.19	Professional		$92.70	$105.48	$159.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $75.86	Facility		$71.56	$71.56	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $91.03 / $102.52	Professional		$64.48	$91.03	$102.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $88.52 / $92.20	Facility		$75.86	$88.52	$92.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $82.12 / $97.39	Facility		$72.06	$82.12	$97.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $82.12 / $97.39	Professional		$72.06	$82.12	$97.39
United Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $75.86 / $95.20	Professional		$74.63	$75.86	$95.20