Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $123.10 / $123.10	Facility		$101.90	$123.10	$123.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $123.10 / $130.91	Professional		$92.83	$123.10	$130.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.97 / $248.97 / $264.41	Facility		$248.97	$248.97	$264.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $119.68 / $159.35	Professional		$119.68	$119.68	$159.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $170.19	Professional		$134.00	$134.00	$170.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $142.94	Professional		$104.35	$104.35	$142.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $224.07 / $298.76	Professional		$174.28	$224.07	$298.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $146.59 / $279.35	Facility		$64.42	$146.59	$279.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $311.20 / $414.70	Professional		$116.00	$311.20	$414.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $187.89 / $311.20	Facility		$136.40	$187.89	$311.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $187.89 / $311.20	Professional		$136.40	$187.89	$311.20
United Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $124.21 / $186.62	Professional		$92.26	$124.21	$186.62