Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $133.88 / $211.29	Facility		$78.98	$133.88	$211.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.95 / $91.88	Professional		$75.22	$75.95	$91.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $155.71 / $245.97	Facility		$75.22	$155.71	$245.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $114.65	Professional		$75.22	$75.22	$114.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $75.93	Professional		$75.22	$75.93	$75.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $70.95 / $75.22	Facility		$70.95	$70.95	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $75.22 / $112.74	Professional		$63.94	$75.22	$112.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $83.72 / $137.65	Facility		$75.22	$83.72	$137.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $118.54 / $190.08	Professional		$79.20	$118.54	$190.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $90.30 / $112.83	Facility		$75.22	$90.30	$112.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $90.30 / $112.83	Professional		$75.22	$90.30	$112.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $79.73 / $88.84	Professional		$75.22	$79.73	$88.84