Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $121.39 / $186.70	Facility		$71.61	$121.39	$186.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.88 / $86.70	Professional		$68.20	$68.88	$86.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $141.16 / $223.01	Facility		$68.20	$141.16	$223.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $91.57	Professional		$68.20	$68.20	$91.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $71.65 / $71.65	Professional		$68.20	$71.65	$71.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $64.34 / $68.20	Facility		$64.34	$64.34	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $68.20 / $211.17	Professional		$57.97	$68.20	$211.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $99.23 / $328.62	Facility		$68.20	$99.23	$328.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $145.35 / $244.00	Professional		$87.00	$145.35	$244.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $81.84 / $122.70	Facility		$68.20	$81.84	$122.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $81.84 / $122.70	Professional		$68.20	$81.84	$122.70
United Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $98.22 / $157.75	Facility		$59.53	$98.22	$157.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.29 / $80.48	Professional		$68.20	$72.29	$80.48