Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $92.18 / $92.18	Facility		$76.30	$92.18	$92.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $92.18 / $152.63	Professional		$76.30	$92.18	$152.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $186.43 / $197.99	Facility		$186.43	$186.43	$197.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $112.34 / $140.43	Professional		$112.34	$112.34	$140.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $124.04 / $127.44	Professional		$124.04	$124.04	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $167.79 / $223.72	Professional		$130.50	$167.79	$223.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $124.98 / $192.05	Facility		$92.18	$124.98	$192.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $224.00 / $310.54	Professional		$148.56	$224.00	$310.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $145.93 / $211.60	Facility		$107.55	$145.93	$211.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $145.93 / $211.60	Professional		$107.55	$145.93	$211.60
United Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $93.01 / $145.93	Professional		$83.71	$93.01	$145.93