Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $110.10 / $110.10	Facility		$91.13	$110.10	$110.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $110.10 / $110.39	Professional		$91.13	$110.10	$110.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.67 / $222.67 / $236.48	Facility		$222.67	$222.67	$236.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $111.78 / $143.47	Professional		$111.78	$111.78	$143.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $152.22	Professional		$119.00	$119.00	$152.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $126.23	Professional		$92.15	$92.15	$126.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $200.40 / $267.20	Professional		$155.87	$200.40	$267.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $130.32 / $249.86	Facility		$59.20	$130.32	$249.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $278.33 / $370.90	Professional		$138.00	$278.33	$370.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $168.06 / $278.33	Facility		$122.00	$168.06	$278.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $168.06 / $278.33	Professional		$122.00	$168.06	$278.33
United Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $111.09 / $166.91	Professional		$83.26	$111.09	$166.91