Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $113.35 / $113.35	Facility		$93.83	$113.35	$113.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $113.35 / $161.94	Professional		$93.83	$113.35	$161.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $229.24 / $243.45	Facility		$229.24	$229.24	$243.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $127.73 / $167.39	Professional		$127.73	$127.73	$167.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $156.71	Professional		$123.00	$123.00	$156.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $150.11	Professional		$109.58	$109.58	$150.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $206.32 / $275.08	Professional		$160.47	$206.32	$275.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $140.99 / $256.16	Facility		$68.50	$140.99	$256.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $286.55 / $381.85	Professional		$120.00	$286.55	$381.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $173.01 / $286.55	Facility		$125.60	$173.01	$286.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $173.01 / $286.55	Professional		$125.60	$173.01	$286.55
United Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $114.37 / $172.28	Professional		$96.34	$114.37	$172.28