Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.84 / $114.84 / $116.06	Facility		$114.84	$114.84	$116.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $114.84 / $130.78	Professional		$106.32	$114.84	$130.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $217.74 / $231.24	Facility		$217.74	$217.74	$231.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $132.08 / $172.55	Professional		$132.08	$132.08	$172.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $148.85	Professional		$117.00	$117.00	$148.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.39 / $140.85 / $140.85	Facility		$116.39	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $140.85	Professional		$102.82	$102.82	$140.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $195.97 / $261.29	Professional		$152.41	$195.97	$261.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $138.11 / $247.86	Facility		$70.13	$138.11	$247.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $286.01 / $362.69	Professional		$122.00	$286.01	$362.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $163.63 / $272.18	Facility		$119.29	$163.63	$272.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $163.63 / $272.18	Professional		$119.29	$163.63	$272.18
United Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $108.63 / $167.39	Professional		$101.18	$108.63	$167.39