Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.78 / $125.78 / $127.12	Facility		$125.78	$125.78	$127.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $125.78 / $141.94	Professional		$125.78	$125.78	$141.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.49 / $238.49 / $253.28	Facility		$238.49	$238.49	$253.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $174.67	Professional		$136.91	$136.91	$174.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $214.64 / $286.19	Professional		$166.94	$214.64	$286.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $146.66 / $267.58	Facility		$72.51	$146.66	$267.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $313.26 / $397.25	Professional		$127.00	$313.26	$397.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $179.99 / $298.11	Facility		$130.66	$179.99	$298.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $179.99 / $298.11	Professional		$130.66	$179.99	$298.11
United Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $118.98 / $173.08	Professional		$110.82	$118.98	$173.08