Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $83.04 / $83.04	Facility		$68.73	$83.04	$83.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $83.04 / $100.45	Professional		$68.73	$83.04	$100.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.97 / $167.97 / $178.38	Facility		$167.97	$167.97	$178.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $119.48	Professional		$92.70	$92.70	$119.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $114.82	Professional		$90.00	$90.00	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $151.16 / $201.56	Professional		$117.58	$151.16	$201.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $103.30 / $193.17	Facility		$48.80	$103.30	$193.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $209.96 / $279.77	Professional		$114.00	$209.96	$279.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $126.75 / $209.96	Facility		$96.88	$126.75	$209.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $126.75 / $209.96	Professional		$96.88	$126.75	$209.96
United Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $83.79 / $125.89	Professional		$68.63	$83.79	$125.89