Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $204.17	Facility		$72.44	$154.88	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $87.10	Professional		$72.44	$74.13	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $251.19	Facility		$74.13	$141.25	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $123.03	Professional		$74.13	$74.13	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $114.82	Professional		$74.13	$74.13	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $83.18	Professional		$63.10	$74.13	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $123.03	Facility		$74.13	$77.62	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $74.13	Professional		$72.44	$74.13	$74.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $109.65	Facility		$70.79	$79.43	$109.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $109.65	Professional		$70.79	$79.43	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $114.82	Facility		$70.79	$74.13	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $83.18	Professional		$74.13	$77.62	$83.18