Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $93.91 / $93.91	Facility		$77.73	$93.91	$93.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $93.91 / $104.52	Professional		$77.73	$93.91	$104.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.93 / $189.93 / $201.71	Facility		$189.93	$189.93	$201.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $113.80 / $142.26	Professional		$113.80	$113.80	$142.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $106.03 / $129.84	Professional		$106.03	$106.03	$129.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $95.00	Professional		$94.64	$94.64	$95.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $170.94 / $227.92	Professional		$132.94	$170.94	$227.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $116.81 / $213.10	Facility		$55.99	$116.81	$213.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $249.48 / $316.37	Professional		$113.00	$249.48	$316.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $142.72 / $237.82	Facility		$88.68	$142.72	$237.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $142.72 / $237.82	Professional		$88.68	$142.72	$237.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $94.75 / $142.72	Professional		$85.64	$94.75	$142.72