Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $93.68 / $186.28	Facility		$78.80	$93.68	$186.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $82.73 / $87.53	Professional		$78.80	$82.73	$87.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $166.27 / $267.92	Facility		$78.80	$166.27	$267.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $124.38 / $187.70	Professional		$109.30	$124.38	$187.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $78.79	Facility		$74.33	$74.33	$78.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $94.56 / $136.57	Professional		$66.98	$94.56	$136.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $90.14 / $109.98	Facility		$36.40	$90.14	$109.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $95.35 / $121.55	Facility		$74.86	$95.35	$121.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $95.35 / $121.55	Professional		$74.86	$95.35	$121.55
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $136.57	Professional		$78.80	$78.80	$136.57