Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $105.25 / $105.25	Facility		$87.12	$105.25	$105.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $105.25 / $122.90	Professional		$87.12	$105.25	$122.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.87 / $212.87 / $226.07	Facility		$212.87	$212.87	$226.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $142.28	Professional		$109.12	$109.12	$142.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $145.52	Professional		$114.00	$114.00	$145.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $111.95	Professional		$81.72	$81.72	$111.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $191.58 / $255.44	Professional		$149.01	$191.58	$255.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $130.91 / $238.83	Facility		$57.70	$130.91	$238.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $266.08 / $354.57	Professional		$103.00	$266.08	$354.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.63 / $160.65 / $266.08	Facility		$116.63	$160.65	$266.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $160.65 / $266.08	Professional		$116.63	$160.65	$266.08
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $106.20 / $159.57	Professional		$81.15	$106.20	$159.57