Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $103.82 / $103.82	Facility		$85.94	$103.82	$103.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $103.82 / $123.29	Professional		$85.94	$103.82	$123.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $209.97 / $222.99	Facility		$209.97	$209.97	$222.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $126.11 / $165.95	Professional		$126.11	$126.11	$165.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $143.54	Professional		$113.00	$113.00	$143.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $139.66 / $139.66	Facility		$112.24	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $188.97 / $251.96	Professional		$146.97	$188.97	$251.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $129.13 / $239.02	Facility		$67.63	$129.13	$239.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $262.45 / $349.74	Professional		$118.00	$262.45	$349.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $158.47 / $262.45	Facility		$115.04	$158.47	$262.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $158.47 / $262.45	Professional		$115.04	$158.47	$262.45
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $104.75 / $157.80	Professional		$94.68	$104.75	$157.80