Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.89 / $104.98 / $104.98	Facility		$86.89	$104.98	$104.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $104.98 / $106.00	Professional		$81.16	$104.98	$106.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.31 / $212.31 / $225.47	Facility		$212.31	$212.31	$225.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $132.24	Professional		$99.32	$99.32	$132.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $145.13	Professional		$114.00	$114.00	$145.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $191.08 / $254.77	Professional		$148.62	$191.08	$254.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $127.46 / $241.68	Facility		$54.63	$127.46	$241.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $265.39 / $353.64	Professional		$116.00	$265.39	$353.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $160.24 / $265.39	Facility		$116.33	$160.24	$265.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $160.24 / $265.39	Professional		$116.33	$160.24	$265.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $105.92 / $159.15	Professional		$78.23	$105.92	$159.15