Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $101.33 / $101.33	Facility		$83.88	$101.33	$101.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $101.33 / $112.74	Professional		$83.88	$101.33	$112.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $204.94 / $217.65	Facility		$204.94	$204.94	$217.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $145.91	Professional		$111.51	$111.51	$145.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $140.10	Professional		$114.40	$114.40	$140.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $149.11 / $149.11	Facility		$75.00	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $149.11	Professional		$108.85	$108.85	$149.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $184.45 / $245.93	Professional		$143.46	$184.45	$245.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $126.03 / $229.92	Facility		$60.40	$126.03	$229.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $256.18 / $341.37	Professional		$122.00	$256.18	$341.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.66 / $154.00 / $256.63	Facility		$106.66	$154.00	$256.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $154.00 / $256.63	Professional		$106.66	$154.00	$256.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $102.25 / $153.62	Professional		$86.51	$102.25	$153.62