Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $208.93	Facility		$37.15	$87.10	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $151.36	Professional		$64.57	$83.18	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Facility		$162.18	$162.18	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $177.83	Professional		$85.11	$85.11	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Professional		$83.18	$83.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $114.82	Facility		$70.79	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $114.82	Professional		$85.11	$85.11	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $223.87	Professional		$112.20	$162.18	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $158.49	Professional		$79.43	$104.71	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $204.17	Facility		$64.57	$104.71	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $199.53	Professional		$87.10	$97.72	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $467.74	Facility		$91.20	$131.83	$467.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $467.74	Professional		$91.20	$131.83	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $70.79 / $194.98	Facility		$47.86	$70.79	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $125.89	Professional		$70.79	$79.43	$125.89