Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $118.03 / $119.29	Facility		$118.03	$118.03	$119.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $118.03 / $134.41	Professional		$105.82	$118.03	$134.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.79 / $223.79 / $237.66	Facility		$223.79	$223.79	$237.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $136.93 / $177.87	Professional		$136.93	$136.93	$177.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $152.97	Professional		$120.00	$120.00	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $149.53	Professional		$124.07	$124.07	$149.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $201.41 / $268.55	Professional		$156.65	$201.41	$268.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $141.96 / $261.68	Facility		$72.08	$141.96	$261.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $293.95 / $372.77	Professional		$160.00	$293.95	$372.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $168.89 / $279.74	Facility		$122.61	$168.89	$279.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $168.89 / $279.74	Professional		$122.61	$168.89	$279.74
United Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $111.65 / $172.04	Professional		$103.99	$111.65	$172.04