Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $87.35 / $173.69	Facility		$75.03	$87.35	$173.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $98.29	Professional		$75.03	$75.78	$98.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $155.29 / $245.32	Facility		$75.02	$155.29	$245.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $114.36	Professional		$75.03	$75.03	$114.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.18 / $76.18	Professional		$75.03	$76.18	$76.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $75.02	Facility		$70.78	$70.78	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $75.02	Professional		$75.02	$75.02	$75.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $75.03 / $124.74	Professional		$63.78	$75.03	$124.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $95.06 / $144.16	Facility		$64.78	$95.06	$144.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $134.00 / $217.00	Professional		$90.00	$134.00	$217.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $90.04 / $124.67	Facility		$75.03	$90.04	$124.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $90.04 / $124.67	Professional		$75.03	$90.04	$124.67
United Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $124.89 / $200.58	Facility		$75.69	$124.89	$200.58
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $88.54	Professional		$75.03	$79.53	$88.54