Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $82.86 / $117.22	Facility		$78.92	$82.86	$117.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $82.85 / $87.68	Professional		$78.92	$82.85	$87.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $166.52 / $268.33	Facility		$78.92	$166.52	$268.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $86.61 / $130.69	Professional		$76.11	$86.61	$130.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $78.92	Facility		$74.45	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $94.70 / $121.95	Professional		$67.08	$94.70	$121.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $126.20	Facility		$78.92	$78.92	$126.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $95.49 / $115.90	Facility		$74.97	$95.49	$115.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $95.49 / $115.90	Professional		$74.97	$95.49	$115.90
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.66 / $102.60	Professional		$78.92	$83.66	$102.60