Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $194.98	Facility		$61.66	$75.86	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $100.00	Professional		$53.70	$70.79	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Facility		$154.88	$154.88	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $144.54	Professional		$69.18	$69.18	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $107.15	Professional		$81.28	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $91.20	Facility		$60.26	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $218.78	Professional		$109.65	$154.88	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $154.88	Professional		$64.57	$102.33	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $177.83	Facility		$52.48	$100.00	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $194.98	Professional		$77.62	$83.18	$194.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $446.68	Facility		$89.13	$128.82	$446.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $446.68	Professional		$89.13	$128.82	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $154.88	Facility		$38.90	$56.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $123.03	Professional		$57.54	$75.86	$123.03