Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.22 / $101.74 / $101.74	Facility		$84.22	$101.74	$101.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $101.74 / $112.69	Professional		$84.22	$101.74	$112.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.77 / $205.77 / $218.53	Facility		$205.77	$205.77	$218.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $114.28 / $145.97	Professional		$114.28	$114.28	$145.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $114.87 / $140.66	Professional		$114.87	$114.87	$140.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $147.05 / $147.05	Facility		$109.99	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $137.49	Professional		$107.35	$107.35	$137.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $185.19 / $246.92	Professional		$144.04	$185.19	$246.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $126.55 / $230.87	Facility		$60.43	$126.55	$230.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $257.20 / $342.76	Professional		$118.00	$257.20	$342.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $155.76 / $257.66	Facility		$112.74	$155.76	$257.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $155.76 / $257.66	Professional		$112.74	$155.76	$257.66
United Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $102.66 / $154.63	Professional		$86.54	$102.66	$154.63