Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.56 / $140.56 / $142.05	Facility		$140.56	$140.56	$142.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $140.56 / $185.63	Professional		$126.01	$140.56	$185.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.50 / $266.50 / $283.02	Facility		$266.50	$266.50	$283.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $175.88 / $219.86	Professional		$175.88	$175.88	$219.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $182.18	Professional		$143.00	$143.00	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $166.52 / $166.52	Facility		$142.46	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $166.52	Professional		$121.56	$121.56	$166.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $239.85 / $319.80	Professional		$186.55	$239.85	$319.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $171.03 / $303.37	Facility		$85.83	$171.03	$303.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $350.05 / $443.91	Professional		$165.00	$350.05	$443.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $200.28 / $333.13	Facility		$146.01	$200.28	$333.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $200.28 / $333.13	Professional		$146.01	$200.28	$333.13
United Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $132.94 / $204.88	Professional		$126.31	$132.94	$204.88