Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $89.07 / $125.07	Facility		$89.07	$89.07	$125.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $89.07 / $102.88	Professional		$73.73	$89.07	$102.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.14 / $180.14 / $191.31	Facility		$180.14	$180.14	$191.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $109.55 / $143.86	Professional		$109.55	$109.55	$143.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $123.14	Professional		$97.00	$97.00	$123.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $116.53	Professional		$85.07	$85.07	$116.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $162.13 / $216.17	Professional		$126.10	$162.13	$216.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $110.79 / $205.06	Facility		$58.02	$110.79	$205.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $225.18 / $300.06	Professional		$135.00	$225.18	$300.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $135.94 / $225.18	Facility		$100.00	$135.94	$225.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $135.94 / $225.18	Professional		$100.00	$135.94	$225.18
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $89.87 / $138.41	Professional		$81.23	$89.87	$138.41