Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $79.62 / $79.62	Facility		$65.91	$79.62	$79.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $79.62 / $83.24	Professional		$65.91	$79.62	$83.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.03 / $161.03 / $171.01	Facility		$161.03	$161.03	$171.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $84.28 / $107.10	Professional		$84.28	$84.28	$107.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $110.08	Professional		$86.00	$86.00	$110.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $89.65 / $89.65	Facility		$86.08	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $89.65	Professional		$65.44	$65.44	$89.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $144.93 / $193.24	Professional		$112.72	$144.93	$193.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $98.00 / $180.69	Facility		$44.64	$98.00	$180.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $201.29 / $268.22	Professional		$78.00	$201.29	$268.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $121.89 / $201.63	Facility		$92.89	$121.89	$201.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $121.89 / $201.63	Professional		$92.89	$121.89	$201.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $80.33 / $120.70	Professional		$62.78	$80.33	$120.70