Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.71 / $89.71 / $167.61	Facility		$89.71	$89.71	$167.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $89.71 / $101.68	Professional		$50.06	$89.71	$101.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.44 / $181.44 / $192.69	Facility		$181.44	$181.44	$192.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $94.06 / $117.65	Professional		$94.06	$94.06	$117.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $124.03	Professional		$97.00	$97.00	$124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $121.25	Professional		$85.67	$85.67	$121.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $163.30 / $217.73	Professional		$127.01	$163.30	$217.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $111.59 / $202.73	Facility		$48.61	$111.59	$202.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $226.80 / $302.23	Professional		$92.00	$226.80	$302.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $136.94 / $226.80	Facility		$100.00	$136.94	$226.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $136.94 / $226.80	Professional		$100.00	$136.94	$226.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $90.52 / $136.01	Professional		$69.62	$90.52	$136.01