Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.97 / $79.70 / $79.70	Facility		$65.97	$79.70	$79.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $79.70 / $89.55	Professional		$65.97	$79.70	$89.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $161.19 / $171.19	Facility		$161.19	$161.19	$171.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $105.94	Professional		$82.80	$82.80	$105.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $110.19	Professional		$86.00	$86.00	$110.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $112.36	Professional		$82.02	$82.02	$112.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $145.08 / $193.44	Professional		$112.84	$145.08	$193.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $95.00 / $180.11	Facility		$43.54	$95.00	$180.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $201.50 / $268.50	Professional		$76.00	$201.50	$268.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $121.65 / $201.50	Facility		$92.98	$121.65	$201.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $121.65 / $201.50	Professional		$92.98	$121.65	$201.50
United Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $80.42 / $121.14	Professional		$61.24	$80.42	$121.14