Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $101.33 / $343.53	Facility		$93.73	$101.33	$343.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $101.33 / $119.88	Professional		$83.88	$101.33	$119.88
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 $114.05 / $114.05 / $145.91	Professional		$114.05	$114.05	$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 $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $102.59	Professional		$102.59	$102.59	$102.59
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 $112.27 / $154.66 / $256.63	Facility		$112.27	$154.66	$256.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $154.66 / $256.63	Professional		$112.27	$154.66	$256.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $102.25 / $153.62	Professional		$86.51	$102.25	$153.62