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 / $92.77	Professional		$68.98	$83.35	$92.77
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 $92.09 / $92.09 / $120.04	Professional		$92.09	$92.09	$120.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $88.56 / $115.23	Professional		$88.56	$88.56	$115.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $116.46 / $116.46	Facility		$90.11	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $116.46	Professional		$85.02	$85.02	$116.46
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 / $98.66 / $188.35	Facility		$49.69	$98.66	$188.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $210.70 / $280.77	Professional		$67.00	$210.70	$280.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.36 / $127.59 / $211.07	Facility		$92.36	$127.59	$211.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $127.59 / $211.07	Professional		$92.36	$127.59	$211.07
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $84.10 / $126.68	Professional		$69.89	$84.10	$126.68