Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $120.47 / $121.75	Facility		$120.47	$120.47	$121.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $120.47 / $123.40	Professional		$105.74	$120.47	$123.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.41 / $228.41 / $242.57	Facility		$228.41	$228.41	$242.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $120.12 / $154.40	Professional		$120.12	$120.12	$154.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $156.13	Professional		$122.00	$122.00	$156.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.10 / $122.31 / $122.31	Facility		$122.10	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $122.31	Professional		$89.29	$89.29	$122.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $205.57 / $274.08	Professional		$159.88	$205.57	$274.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $140.94 / $256.30	Facility		$63.04	$140.94	$256.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $300.02 / $380.47	Professional		$113.00	$300.02	$380.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $171.66 / $285.51	Facility		$125.15	$171.66	$285.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $171.66 / $285.51	Professional		$125.15	$171.66	$285.51
United Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $113.95 / $163.49	Professional		$103.00	$113.95	$163.49