Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $123.87 / $246.31	Facility		$95.90	$123.87	$246.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $130.72	Professional		$95.90	$96.86	$130.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $198.51 / $313.58	Facility		$95.90	$198.51	$313.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $128.77	Professional		$95.90	$95.90	$128.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $108.04 / $108.04	Professional		$95.90	$108.04	$108.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $90.47 / $95.90	Facility		$90.47	$90.47	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $95.90 / $732.42	Professional		$81.52	$95.90	$732.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $140.30 / $1,549.47	Facility		$95.90	$140.30	$1,549.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $1,146.00 / $4,570.00	Professional		$194.00	$1,146.00	$4,570.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $115.08 / $240.00	Facility		$95.90	$115.08	$240.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $115.08 / $240.00	Professional		$95.90	$115.08	$240.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $174.89	Professional		$95.90	$101.65	$174.89