Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $102.75 / $102.75	Facility		$102.75	$102.75	$102.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $102.75 / $144.16	Professional		$74.20	$102.75	$144.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.99 / $149.99 / $149.99	Facility		$149.99	$149.99	$149.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $136.59 / $136.59	Professional		$136.59	$136.59	$136.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $122.76 / $141.19	Professional		$122.76	$122.76	$141.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $139.79	Facility		$64.17	$64.17	$139.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $64.17 / $66.09	Professional		$14.75	$64.17	$66.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $152.07 / $178.91	Professional		$134.18	$152.07	$178.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $74.20 / $168.90	Facility		$21.79	$74.20	$168.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $95.90 / $190.79	Facility		$12.33	$95.90	$190.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $75.20 / $187.17	Professional		$11.65	$75.20	$187.17
United Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $88.31 / $145.36	Professional		$71.20	$88.31	$145.36