Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $74.87 / $75.67	Facility		$74.87	$74.87	$75.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $74.87 / $75.67	Professional		$61.23	$74.87	$75.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.96 / $141.96 / $150.76	Facility		$141.96	$141.96	$150.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $93.68	Professional		$71.42	$71.42	$93.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $97.04	Professional		$76.00	$76.00	$97.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $97.44	Professional		$71.13	$71.13	$97.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $127.76 / $170.35	Professional		$99.37	$127.76	$170.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $87.31 / $159.29	Facility		$37.83	$87.31	$159.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $186.47 / $236.46	Professional		$66.00	$186.47	$236.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.89 / $107.14 / $177.45	Facility		$81.89	$107.14	$177.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $107.14 / $177.45	Professional		$81.89	$107.14	$177.45
United Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $156.60 / $187.92	Facility		$156.60	$156.60	$187.92
United Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $70.81 / $101.61	Professional		$59.62	$70.81	$101.61