Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.65 / $131.65 / $133.06	Facility		$131.65	$131.65	$133.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $131.65 / $133.38	Professional		$116.42	$131.65	$133.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.63 / $249.63 / $265.11	Facility		$249.63	$249.63	$265.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $175.32	Professional		$133.38	$133.38	$175.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $138.76	Professional		$101.29	$101.29	$138.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $224.67 / $299.56	Professional		$174.74	$224.67	$299.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $153.52 / $280.08	Facility		$71.52	$153.52	$280.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $327.89 / $415.80	Professional		$125.00	$327.89	$415.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.76 / $187.59 / $312.04	Facility		$136.76	$187.59	$312.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $187.59 / $312.04	Professional		$136.76	$187.59	$312.04
United Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $296.08 / $355.31	Facility		$296.08	$296.08	$355.31
United Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $124.53 / $187.59	Professional		$112.55	$124.53	$187.59