Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $263.03	Facility		$83.18	$100.00	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $181.97	Professional		$83.18	$102.33	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Facility		$208.93	$208.93	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $234.42	Professional		$112.20	$112.20	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Professional		$114.82	$114.82	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $147.91	Facility		$91.20	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Professional		$109.65	$109.65	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $295.12	Professional		$147.91	$208.93	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $204.17	Professional		$104.71	$138.04	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $251.19	Facility		$83.18	$134.90	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $263.03	Professional		$112.20	$125.89	$263.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $602.56	Facility		$112.20	$169.82	$602.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $602.56	Professional		$112.20	$169.82	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $302.00	Facility		$63.10	$93.33	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $165.96	Professional		$93.33	$102.33	$165.96