Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $97.57 / $97.57	Facility		$80.76	$97.57	$97.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $97.57 / $119.13	Professional		$80.76	$97.57	$119.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $197.31 / $209.54	Facility		$197.31	$197.31	$209.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $109.27 / $140.28	Professional		$109.27	$109.27	$140.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $110.16 / $134.88	Professional		$110.16	$110.16	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $115.34	Professional		$82.25	$82.25	$115.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $177.58 / $236.77	Professional		$138.12	$177.58	$236.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $121.36 / $221.41	Facility		$58.07	$121.36	$221.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $246.64 / $328.67	Professional		$114.00	$246.64	$328.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $149.36 / $235.50	Facility		$113.83	$149.36	$235.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $149.36 / $235.50	Professional		$113.83	$149.36	$235.50
United Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $98.44 / $148.29	Professional		$81.68	$98.44	$148.29