Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $302.00	Facility		$97.72	$117.49	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $190.55	Professional		$97.72	$117.49	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Facility		$239.88	$239.88	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $275.42	Professional		$131.83	$131.83	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $165.96	Professional		$125.89	$125.89	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $134.90	Facility		$95.50	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $338.84	Professional		$169.82	$239.88	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $239.88	Professional		$112.20	$158.49	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $295.12	Facility		$95.50	$158.49	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $302.00	Professional		$128.82	$128.82	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $707.95	Facility		$128.82	$199.53	$707.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $707.95	Professional		$128.82	$199.53	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $346.74	Facility		$74.13	$107.15	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $190.55	Professional		$107.15	$117.49	$190.55