Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.25 / $116.90 / $116.90	Facility		$98.25	$116.90	$116.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $116.90 / $130.10	Professional		$96.76	$116.90	$130.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $236.42 / $251.08	Facility		$236.42	$236.42	$251.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $164.76	Professional		$131.80	$131.80	$164.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $143.84 / $161.62	Professional		$143.84	$143.84	$161.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $186.82	Professional		$98.72	$98.72	$186.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $212.78 / $283.70	Professional		$165.49	$212.78	$283.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $136.77 / $265.27	Facility		$69.70	$136.77	$265.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $284.00 / $393.80	Professional		$178.24	$284.00	$393.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $183.21 / $302.06	Facility		$129.53	$183.21	$302.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $183.21 / $302.06	Professional		$129.53	$183.21	$302.06
United Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $117.95 / $177.22	Professional		$98.03	$117.95	$177.22