Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.33 / $119.33 / $119.33	Facility		$119.33	$119.33	$119.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $119.33 / $158.72	Professional		$72.16	$119.33	$158.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $180.10 / $180.10	Facility		$180.10	$180.10	$180.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $152.99 / $152.99	Professional		$152.99	$152.99	$152.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $123.75 / $143.00	Professional		$123.75	$123.75	$143.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $167.97	Facility		$112.73	$112.73	$167.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $112.73 / $116.11	Professional		$16.55	$112.73	$116.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $187.39 / $208.21	Professional		$156.16	$187.39	$208.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $86.42 / $170.25	Facility		$25.60	$86.42	$170.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $24.08 / $198.40	Facility		$13.52	$24.08	$198.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $24.81 / $198.40	Professional		$13.52	$24.81	$198.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $102.85 / $146.53	Professional		$79.30	$102.85	$146.53