Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $79.59 / $80.44	Facility		$79.59	$79.59	$80.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $79.59 / $88.32	Professional		$73.48	$79.59	$88.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $150.91 / $160.28	Facility		$150.91	$150.91	$160.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $92.90 / $116.13	Professional		$92.90	$92.90	$116.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $84.25 / $84.25	Professional		$84.25	$84.25	$84.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $100.03	Professional		$73.02	$73.02	$100.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $135.83 / $181.10	Professional		$105.64	$135.83	$181.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $92.82 / $169.32	Facility		$44.49	$92.82	$169.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $198.24 / $251.39	Professional		$109.06	$198.24	$251.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $116.02 / $192.80	Facility		$82.68	$116.02	$192.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $116.02 / $192.80	Professional		$82.68	$116.02	$192.80
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $75.29 / $108.01	Professional		$68.92	$75.29	$108.01