Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $78.88 / $78.88	Facility		$65.30	$78.88	$78.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $78.88 / $82.42	Professional		$65.30	$78.88	$82.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $159.54 / $169.43	Facility		$159.54	$159.54	$169.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $76.45 / $99.61	Professional		$76.45	$76.45	$99.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $109.06	Professional		$86.00	$86.00	$109.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $104.21	Professional		$76.06	$76.06	$104.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $143.59 / $191.45	Professional		$111.68	$143.59	$191.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $90.00 / $178.27	Facility		$41.00	$90.00	$178.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $199.43 / $265.74	Professional		$72.00	$199.43	$265.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $120.40 / $199.43	Facility		$92.03	$120.40	$199.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $120.40 / $199.43	Professional		$92.03	$120.40	$199.43
United Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $79.59 / $119.58	Professional		$57.66	$79.59	$119.58