Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $134.90 / $177.83	Facility		$63.10	$134.90	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $218.78	Facility		$64.57	$128.82	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $107.15	Professional		$64.57	$64.57	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $147.91	Professional		$85.11	$97.72	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $64.57 / $64.57	Facility		$60.26	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $138.04	Professional		$54.95	$64.57	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $120.23	Facility		$64.57	$83.18	$120.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $102.33	Facility		$60.26	$93.33	$102.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $102.33	Professional		$60.26	$93.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $95.50	Facility		$57.54	$64.57	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86