Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $94.17 / $94.17	Facility		$53.14	$94.17	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $94.17 / $94.17	Professional		$53.14	$94.17	$94.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $122.50 / $130.10	Facility		$122.50	$122.50	$130.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $111.80 / $139.76	Professional		$111.80	$111.80	$139.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $119.95 / $119.95	Professional		$104.35	$119.95	$119.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $128.79	Professional		$94.02	$94.02	$128.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $107.48 / $172.13	Professional		$75.23	$107.48	$172.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $104.35 / $177.63	Facility		$39.29	$104.35	$177.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $178.00 / $235.41	Professional		$147.97	$178.00	$235.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $149.07 / $192.41	Facility		$100.00	$149.07	$192.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $149.07 / $192.41	Professional		$100.00	$149.07	$192.41
United Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $95.02 / $149.07	Professional		$81.88	$95.02	$149.07