Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $171.49 / $171.49	Facility		$57.97	$171.49	$171.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $79.95 / $171.49	Professional		$57.97	$79.95	$171.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $133.52 / $141.80	Facility		$133.52	$133.52	$141.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $51.92	Professional		$39.00	$39.00	$51.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $78.52 / $79.62	Professional		$78.52	$78.52	$79.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $52.17	Professional		$38.08	$38.08	$52.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $117.15 / $187.89	Professional		$82.01	$117.15	$187.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $117.15 / $207.42	Facility		$28.81	$117.15	$207.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $202.50 / $256.80	Professional		$178.27	$202.50	$256.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.79 / $133.52 / $718.46	Facility		$86.79	$133.52	$718.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $133.52 / $718.46	Professional		$86.79	$133.52	$718.46
United Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $103.82 / $171.49	Professional		$94.18	$103.82	$171.49