Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.47 / $99.63 / $99.63	Facility		$82.47	$99.63	$99.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $99.63 / $113.36	Professional		$82.47	$99.63	$113.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $201.50 / $213.99	Facility		$201.50	$201.50	$213.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $105.61 / $136.90	Professional		$105.61	$105.61	$136.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $137.75	Professional		$108.00	$108.00	$137.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $144.01	Professional		$105.13	$105.13	$144.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $181.35 / $241.80	Professional		$141.05	$181.35	$241.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $117.93 / $229.37	Facility		$55.85	$117.93	$229.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $251.88 / $335.63	Professional		$124.00	$251.88	$335.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $152.07 / $251.88	Facility		$110.39	$152.07	$251.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $152.07 / $251.88	Professional		$110.39	$152.07	$251.88
United Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $100.52 / $151.04	Professional		$78.55	$100.52	$151.04