Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.91 / $95.33 / $95.33	Facility		$78.91	$95.33	$95.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $95.33 / $124.34	Professional		$75.45	$95.33	$124.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $192.80 / $204.75	Facility		$192.80	$192.80	$204.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $149.47	Professional		$119.57	$119.57	$149.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $131.80	Professional		$103.00	$103.00	$131.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $128.82	Professional		$100.98	$100.98	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $173.52 / $231.36	Professional		$134.96	$173.52	$231.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $118.58 / $219.47	Facility		$62.10	$118.58	$219.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $241.00 / $321.14	Professional		$108.00	$241.00	$321.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $145.50 / $241.00	Facility		$105.63	$145.50	$241.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $145.50 / $241.00	Professional		$105.63	$145.50	$241.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $96.19 / $144.88	Professional		$86.93	$96.19	$144.88