Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $87.10	Facility		$85.11	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $134.90	Professional		$69.18	$85.11	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Facility		$169.82	$169.82	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $199.53	Professional		$95.50	$95.50	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Professional		$87.10	$87.10	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $100.00	Facility		$67.61	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $234.42	Professional		$117.49	$169.82	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $165.96	Professional		$107.15	$109.65	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $223.87	Facility		$69.18	$123.03	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $109.65	Professional		$91.20	$95.50	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $489.78	Facility		$95.50	$138.04	$489.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $489.78	Professional		$95.50	$138.04	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $120.23 / $218.78	Facility		$60.26	$120.23	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $123.03	Professional		$75.86	$81.28	$123.03