Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $141.56 / $141.56	Facility		$117.18	$141.56	$141.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $141.56 / $146.76	Professional		$117.18	$141.56	$146.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.32 / $286.32 / $304.07	Facility		$286.32	$286.32	$304.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $137.22 / $180.55	Professional		$137.22	$137.22	$180.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $195.73	Professional		$154.00	$154.00	$195.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.04 / $166.23 / $166.23	Facility		$153.04	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $257.69 / $343.58	Professional		$200.42	$257.69	$343.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $166.00 / $321.24	Facility		$74.52	$166.00	$321.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $357.90 / $476.91	Professional		$130.00	$357.90	$476.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $216.08 / $357.90	Facility		$156.86	$216.08	$357.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $216.08 / $357.90	Professional		$156.86	$216.08	$357.90
United Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $142.84 / $214.61	Professional		$104.81	$142.84	$214.61