Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $83.35 / $83.35	Facility		$68.98	$83.35	$83.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $83.35 / $98.64	Professional		$68.98	$83.35	$98.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $168.56 / $179.01	Facility		$168.56	$168.56	$179.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $93.03 / $120.04	Professional		$93.03	$93.03	$120.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $94.11 / $115.23	Professional		$94.11	$94.11	$115.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $104.24 / $104.24	Facility		$90.11	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.24	Professional		$76.09	$76.09	$104.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $151.69 / $202.27	Professional		$117.99	$151.69	$202.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $103.67 / $189.14	Facility		$49.69	$103.67	$189.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $221.41 / $280.77	Professional		$115.00	$221.41	$280.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $130.63 / $210.70	Facility		$97.24	$130.63	$210.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $130.63 / $210.70	Professional		$97.24	$130.63	$210.70
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $84.10 / $126.68	Professional		$69.89	$84.10	$126.68