Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.08 / $91.90 / $91.90	Facility		$76.08	$91.90	$91.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $91.90 / $100.61	Professional		$65.20	$91.90	$100.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.88 / $185.88 / $197.40	Facility		$185.88	$185.88	$197.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $83.85 / $109.83	Professional		$83.85	$83.85	$109.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $89.11	Professional		$65.05	$65.05	$89.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $167.29 / $223.06	Professional		$130.12	$167.29	$223.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $103.85 / $207.41	Facility		$45.25	$103.85	$207.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $232.35 / $309.61	Professional		$80.00	$232.35	$309.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $140.28 / $232.35	Facility		$101.84	$140.28	$232.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $140.28 / $232.35	Professional		$101.84	$140.28	$232.35
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $92.73 / $139.69	Professional		$70.09	$92.73	$139.69