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 / $136.02	Professional		$80.76	$97.57	$136.02
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 $115.83 / $115.83 / $144.79	Professional		$115.83	$115.83	$144.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $131.27 / $134.88	Professional		$131.27	$131.27	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $92.76	Professional		$92.76	$92.76	$92.76
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 $97.57 / $132.06 / $203.26	Facility		$97.57	$132.06	$203.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $246.64 / $328.67	Professional		$157.22	$246.64	$328.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $154.44 / $223.96	Facility		$113.83	$154.44	$223.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $154.44 / $223.96	Professional		$113.83	$154.44	$223.96
United Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $98.44 / $154.44	Professional		$88.60	$98.44	$154.44