Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.87 / $92.87 / $92.87	Facility		$76.87	$92.87	$92.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $92.87 / $109.91	Professional		$57.02	$92.87	$109.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.82 / $187.82 / $199.46	Facility		$187.82	$187.82	$199.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $106.22 / $133.74	Professional		$106.22	$106.22	$133.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $104.85 / $128.38	Professional		$104.85	$104.85	$128.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $125.49	Professional		$78.42	$78.42	$125.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $169.04 / $225.38	Professional		$131.47	$169.04	$225.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $108.66 / $209.86	Facility		$55.36	$108.66	$209.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $234.78 / $312.85	Professional		$108.00	$234.78	$312.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $142.16 / $235.18	Facility		$102.90	$142.16	$235.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $142.16 / $235.18	Professional		$102.90	$142.16	$235.18
United Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $85.00 / $91.26	Facility		$64.59	$85.00	$91.26
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $93.70 / $141.13	Professional		$79.29	$93.70	$141.13