Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $72.52 / $72.52	Facility		$60.02	$72.52	$72.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $72.52 / $93.34	Professional		$60.02	$72.52	$93.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $146.66 / $155.75	Facility		$146.66	$146.66	$155.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $85.06 / $110.04	Professional		$85.06	$85.06	$110.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $100.25	Professional		$79.00	$79.00	$100.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $102.60 / $102.60	Facility		$78.40	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $102.60	Professional		$74.90	$74.90	$102.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $131.99 / $175.99	Professional		$102.66	$131.99	$175.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $90.20 / $167.58	Facility		$45.51	$90.20	$167.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $183.33 / $244.28	Professional		$83.00	$183.33	$244.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $110.68 / $183.33	Facility		$84.60	$110.68	$183.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $110.68 / $183.33	Professional		$84.60	$110.68	$183.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $73.17 / $110.22	Professional		$66.13	$73.17	$110.22