Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $84.99 / $84.99	Facility		$70.34	$84.99	$84.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $84.99 / $119.59	Professional		$64.90	$84.99	$119.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $171.88 / $182.54	Facility		$171.88	$171.88	$182.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $88.64 / $113.82	Professional		$88.64	$88.64	$113.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $117.50	Professional		$92.00	$92.00	$117.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $96.73 / $96.73	Facility		$91.89	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $103.12	Professional		$70.61	$70.61	$103.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $154.69 / $206.26	Professional		$120.32	$154.69	$206.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $103.00 / $192.06	Facility		$47.05	$103.00	$192.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $214.85 / $286.30	Professional		$82.00	$214.85	$286.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $129.72 / $214.85	Facility		$99.16	$129.72	$214.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $129.72 / $214.85	Professional		$99.16	$129.72	$214.85
United Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $85.75 / $129.18	Professional		$66.17	$85.75	$129.18