Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.28 / $99.39 / $99.39	Facility		$82.28	$99.39	$99.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $99.39 / $130.57	Professional		$82.28	$99.39	$130.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.02 / $201.02 / $213.48	Facility		$201.02	$201.02	$213.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $122.25 / $152.82	Professional		$122.25	$122.25	$152.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $129.49 / $137.41	Professional		$129.49	$129.49	$137.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $183.86	Professional		$91.70	$91.70	$183.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $180.92 / $241.22	Professional		$140.71	$180.92	$241.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $123.42 / $223.63	Facility		$64.75	$123.42	$223.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $251.28 / $334.85	Professional		$160.16	$251.28	$334.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $152.40 / $251.28	Facility		$110.13	$152.40	$251.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $152.40 / $251.28	Professional		$110.13	$152.40	$251.28
United Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $100.29 / $154.54	Professional		$90.64	$100.29	$154.54