Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $75.75 / $75.75	Facility		$62.70	$75.75	$75.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $75.75 / $89.65	Professional		$62.70	$75.75	$89.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $153.19 / $162.69	Facility		$153.19	$153.19	$162.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $84.59 / $109.10	Professional		$84.59	$84.59	$109.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $85.53 / $104.73	Professional		$85.53	$85.53	$104.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $99.06	Professional		$72.31	$72.31	$99.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $137.88 / $183.84	Professional		$107.24	$137.88	$183.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $89.66 / $171.19	Facility		$45.17	$89.66	$171.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $191.50 / $255.19	Professional		$88.00	$191.50	$255.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $115.97 / $191.83	Facility		$88.38	$115.97	$191.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $115.97 / $191.83	Professional		$88.38	$115.97	$191.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $76.43 / $115.14	Professional		$63.53	$76.43	$115.14