Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $78.56 / $78.56	Facility		$65.02	$78.56	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $78.56 / $88.89	Professional		$65.02	$78.56	$88.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $158.87 / $168.72	Facility		$158.87	$158.87	$168.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $84.03 / $106.47	Professional		$84.03	$84.03	$106.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $88.62 / $108.61	Professional		$88.62	$88.62	$108.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $86.21	Professional		$62.93	$62.93	$86.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $142.97 / $190.64	Professional		$111.21	$142.97	$190.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $97.00 / $177.53	Facility		$44.44	$97.00	$177.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $208.68 / $264.64	Professional		$78.00	$208.68	$264.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $119.91 / $198.59	Facility		$91.65	$119.91	$198.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $119.91 / $198.59	Professional		$91.65	$119.91	$198.59
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $79.27 / $119.40	Professional		$62.50	$79.27	$119.40