Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $98.63 / $98.63	Facility		$59.22	$98.63	$98.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $94.37 / $98.63	Professional		$59.22	$94.37	$98.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.29 / $141.29 / $150.05	Facility		$141.29	$141.29	$150.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $119.07 / $148.84	Professional		$119.07	$119.07	$148.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $111.36	Professional		$111.36	$111.36	$111.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $119.27 / $187.43	Professional		$86.78	$119.27	$187.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $111.45 / $207.02	Facility		$63.06	$111.45	$207.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $201.00 / $263.11	Professional		$127.00	$201.00	$263.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $144.43 / $211.51	Facility		$101.10	$144.43	$211.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $144.43 / $211.51	Professional		$101.10	$144.43	$211.51
United Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $99.52 / $149.91	Professional		$88.69	$99.52	$149.91