Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $99.90 / $99.90	Facility		$82.70	$99.90	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $99.90 / $120.25	Professional		$82.70	$99.90	$120.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.06 / $202.06 / $214.59	Facility		$202.06	$202.06	$214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $122.85 / $159.85	Professional		$122.85	$122.85	$159.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $138.12	Professional		$108.00	$108.00	$138.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $136.19	Professional		$99.43	$99.43	$136.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $181.85 / $242.47	Professional		$141.44	$181.85	$242.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $124.26 / $230.01	Facility		$64.95	$124.26	$230.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $252.58 / $336.56	Professional		$151.00	$252.58	$336.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.70 / $152.47 / $252.58	Facility		$110.70	$152.47	$252.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $152.47 / $252.58	Professional		$110.70	$152.47	$252.58
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $100.80 / $151.84	Professional		$91.10	$100.80	$151.84