Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $87.24 / $87.24	Facility		$72.20	$87.24	$87.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $87.24 / $107.54	Professional		$72.20	$87.24	$107.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $187.39	Facility		$176.45	$176.45	$187.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $105.98 / $139.33	Professional		$105.98	$105.98	$139.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $120.62	Professional		$95.00	$95.00	$120.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $121.82	Professional		$88.93	$88.93	$121.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $158.81 / $211.74	Professional		$123.52	$158.81	$211.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $108.52 / $202.92	Facility		$56.83	$108.52	$202.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $220.56 / $293.89	Professional		$113.00	$220.56	$293.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $133.16 / $220.56	Facility		$100.00	$133.16	$220.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.16 / $220.56	Professional		$100.00	$133.16	$220.56
United Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $88.03 / $132.60	Professional		$79.56	$88.03	$132.60