Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.76 / $74.61 / $74.61	Facility		$61.76	$74.61	$74.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $74.61 / $99.69	Professional		$61.76	$74.61	$99.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $150.90 / $160.26	Facility		$150.90	$150.90	$160.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $91.38 / $121.49	Professional		$91.38	$91.38	$121.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $103.15	Professional		$81.00	$81.00	$103.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $97.79 / $97.79	Facility		$80.66	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $97.79	Professional		$71.39	$71.39	$97.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $135.81 / $181.08	Professional		$105.63	$135.81	$181.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $92.81 / $171.77	Facility		$48.60	$92.81	$171.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $188.63 / $251.35	Professional		$85.00	$188.63	$251.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.05 / $113.89 / $188.63	Facility		$87.05	$113.89	$188.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $113.89 / $188.63	Professional		$87.05	$113.89	$188.63
United Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $74.61 / $85.37	Facility		$56.70	$74.61	$85.37
United Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $75.28 / $113.40	Professional		$68.04	$75.28	$113.40