Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $94.39 / $94.39	Facility		$78.13	$94.39	$94.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $94.39 / $136.71	Professional		$78.13	$94.39	$136.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.90 / $190.90 / $202.74	Facility		$190.90	$190.90	$202.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $116.28 / $147.63	Professional		$116.28	$116.28	$147.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $130.50	Professional		$102.00	$102.00	$130.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $119.29	Professional		$87.08	$87.08	$119.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $171.81 / $229.08	Professional		$133.63	$171.81	$229.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $117.41 / $218.06	Facility		$61.48	$117.41	$218.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $238.63 / $317.98	Professional		$109.00	$238.63	$317.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $144.08 / $238.63	Facility		$104.59	$144.08	$238.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $144.08 / $238.63	Professional		$104.59	$144.08	$238.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $95.24 / $146.76	Professional		$86.08	$95.24	$146.76