Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $114.61 / $114.61	Facility		$94.87	$114.61	$114.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $114.61 / $139.21	Professional		$94.87	$114.61	$139.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.80 / $231.80 / $246.17	Facility		$231.80	$231.80	$246.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $139.22 / $182.49	Professional		$139.22	$139.22	$182.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $158.46	Professional		$124.00	$124.00	$158.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $144.84	Professional		$105.73	$105.73	$144.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $208.62 / $278.16	Professional		$162.26	$208.62	$278.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $142.56 / $263.86	Facility		$74.66	$142.56	$263.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $289.75 / $386.10	Professional		$130.00	$289.75	$386.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.99 / $174.93 / $289.75	Facility		$126.99	$174.93	$289.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $174.93 / $289.75	Professional		$126.99	$174.93	$289.75
United Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $115.64 / $178.11	Professional		$104.52	$115.64	$178.11