Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $84.32 / $167.69	Facility		$73.94	$84.32	$167.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $81.33	Professional		$73.94	$73.94	$81.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $153.04 / $241.75	Facility		$73.93	$153.04	$241.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $99.10	Professional		$73.94	$73.94	$99.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $73.54 / $73.94	Professional		$73.54	$73.54	$73.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $69.75 / $73.94	Facility		$69.75	$69.75	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $73.94 / $88.73	Professional		$62.85	$73.94	$88.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $77.63 / $118.23	Facility		$46.04	$77.63	$118.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $86.50 / $159.82	Professional		$61.00	$86.50	$159.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $83.83 / $110.91	Facility		$73.94	$83.83	$110.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $83.83 / $110.91	Professional		$73.94	$83.83	$110.91
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $83.83	Professional		$73.94	$78.38	$83.83