Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $67.90 / $67.90	Facility		$56.20	$67.90	$67.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $67.90 / $83.98	Professional		$56.20	$67.90	$83.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $137.32 / $145.83	Facility		$137.32	$137.32	$145.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $76.87 / $98.52	Professional		$76.87	$76.87	$98.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $93.87	Professional		$74.00	$74.00	$93.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $91.77	Professional		$67.88	$67.88	$91.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $123.59 / $164.78	Professional		$96.12	$123.59	$164.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $84.32 / $154.11	Facility		$40.78	$84.32	$154.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $171.65 / $228.73	Professional		$74.00	$171.65	$228.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $103.65 / $171.65	Facility		$79.20	$103.65	$171.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $103.65 / $171.65	Professional		$79.20	$103.65	$171.65
United Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $68.51 / $103.22	Professional		$57.36	$68.51	$103.22