Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $120.34 / $239.29	Facility		$104.73	$120.34	$239.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $109.97 / $109.97	Professional		$104.73	$109.97	$109.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $220.98 / $356.08	Facility		$104.73	$220.98	$356.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $155.97 / $235.38	Professional		$137.07	$155.97	$235.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $98.80 / $104.73	Facility		$98.80	$98.80	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $124.61 / $125.68	Professional		$89.02	$124.61	$125.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $165.41	Facility		$104.73	$104.73	$165.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.49 / $104.73 / $134.05	Facility		$99.49	$104.73	$134.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $104.73 / $134.05	Professional		$99.49	$104.73	$134.05
United Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $104.73 / $124.61	Professional		$101.59	$104.73	$124.61