Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.91 / $86.91 / $87.82	Facility		$86.91	$86.91	$87.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $86.91 / $95.79	Professional		$77.88	$86.91	$95.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.77 / $164.77 / $174.99	Facility		$164.77	$164.77	$174.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $96.39 / $124.32	Professional		$96.39	$96.39	$124.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $112.64	Professional		$88.00	$88.00	$112.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $99.66 / $99.66	Facility		$88.09	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $99.66	Professional		$72.75	$72.75	$99.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $148.29 / $197.72	Professional		$115.34	$148.29	$197.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $104.51 / $187.56	Facility		$51.37	$104.51	$187.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $216.43 / $274.45	Professional		$90.00	$216.43	$274.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $124.36 / $205.96	Facility		$95.05	$124.36	$205.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $124.36 / $205.96	Professional		$95.05	$124.36	$205.96
United Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $82.21 / $122.61	Professional		$74.30	$82.21	$122.61