Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $117.57 / $117.57	Facility		$97.32	$117.57	$117.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $117.57 / $129.47	Professional		$97.32	$117.57	$129.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.77 / $237.77 / $252.51	Facility		$237.77	$237.77	$252.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $132.15 / $165.20	Professional		$132.15	$132.15	$165.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $162.54	Professional		$127.00	$127.00	$162.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $135.51	Professional		$98.92	$98.92	$135.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $213.99 / $285.32	Professional		$166.44	$213.99	$285.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $141.55 / $266.83	Facility		$69.84	$141.55	$266.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $297.20 / $396.06	Professional		$122.00	$297.20	$396.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $179.46 / $297.20	Facility		$130.28	$179.46	$297.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $179.46 / $297.20	Professional		$130.28	$179.46	$297.20
United Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $118.63 / $178.71	Professional		$100.03	$118.63	$178.71