Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $127.03 / $194.33	Facility		$74.94	$127.03	$194.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.08 / $90.64	Professional		$71.37	$72.08	$90.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $147.74 / $233.38	Facility		$71.37	$147.74	$233.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $95.66	Professional		$71.37	$71.37	$95.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $71.37	Professional		$69.83	$69.83	$71.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $67.33 / $71.37	Facility		$67.33	$67.33	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $71.37 / $93.08	Professional		$60.66	$71.37	$93.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.11 / $74.94 / $114.19	Facility		$48.11	$74.94	$114.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $81.31 / $148.10	Professional		$62.00	$81.31	$148.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $85.64 / $107.06	Facility		$71.37	$85.64	$107.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $85.64 / $107.06	Professional		$71.37	$85.64	$107.06
United Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $256.99	Facility		$256.99	$256.99	$256.99
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $81.93	Professional		$71.37	$75.65	$81.93