Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $94.17 / $94.17	Facility		$77.95	$94.17	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $94.17 / $104.82	Professional		$77.95	$94.17	$104.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $190.45 / $202.26	Facility		$190.45	$190.45	$202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $105.27 / $135.65	Professional		$105.27	$105.27	$135.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $106.32 / $130.19	Professional		$106.32	$106.32	$130.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $171.41 / $228.54	Professional		$133.32	$171.41	$228.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $117.14 / $213.70	Facility		$56.16	$117.14	$213.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $238.06 / $317.24	Professional		$137.62	$238.06	$317.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.35 / $143.74 / $238.06	Facility		$104.35	$143.74	$238.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $143.74 / $238.06	Professional		$104.35	$143.74	$238.06
United Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $95.02 / $143.13	Professional		$80.42	$95.02	$143.13