Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $132.36 / $207.18	Facility		$78.08	$132.36	$207.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.09 / $90.08	Professional		$74.36	$75.09	$90.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $153.93 / $243.16	Facility		$74.36	$153.93	$243.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $99.67	Professional		$74.36	$74.36	$99.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $74.45	Professional		$74.36	$74.45	$74.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $70.15 / $74.36	Facility		$70.15	$70.15	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $74.36 / $90.05	Professional		$63.21	$74.36	$90.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $78.08 / $119.77	Facility		$54.02	$78.08	$119.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $106.00 / $168.58	Professional		$70.23	$106.00	$168.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $85.51 / $111.54	Facility		$74.36	$85.51	$111.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $85.51 / $111.54	Professional		$74.36	$85.51	$111.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.81 / $87.31	Professional		$74.36	$78.81	$87.31