Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $123.03 / $177.83	Facility		$46.77	$123.03	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $177.83	Professional		$45.71	$74.13	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Facility		$151.36	$151.36	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $173.78	Professional		$83.18	$83.18	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $104.71	Professional		$79.43	$79.43	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $87.10	Facility		$54.95	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $87.10	Professional		$63.10	$63.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $213.80	Professional		$107.15	$151.36	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $151.36	Professional		$64.57	$100.00	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $190.55	Facility		$57.54	$97.72	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $190.55	Professional		$81.28	$87.10	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $436.52	Facility		$87.10	$125.89	$436.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $436.52	Professional		$87.10	$125.89	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $61.66 / $169.82	Facility		$41.69	$61.66	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $120.23	Professional		$61.66	$74.13	$120.23