Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $74.84 / $156.16	Facility		$61.28	$74.84	$156.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $74.03 / $115.20	Professional		$40.14	$74.03	$115.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.74 / $149.74 / $159.02	Facility		$149.74	$149.74	$159.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $83.38 / $102.52	Professional		$83.38	$83.38	$102.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $102.36	Professional		$80.00	$80.00	$102.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $91.83	Professional		$63.25	$63.25	$91.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $134.77 / $179.69	Professional		$104.82	$134.77	$179.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $92.10 / $172.20	Facility		$40.15	$92.10	$172.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $180.00 / $249.41	Professional		$89.00	$180.00	$249.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $113.01 / $187.18	Facility		$86.37	$113.01	$187.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $113.01 / $187.18	Professional		$86.37	$113.01	$187.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $74.70 / $112.53	Professional		$57.50	$74.70	$112.53