Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Facility		$91.20	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $147.91	Professional		$79.43	$93.33	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $190.55	Facility		$177.83	$177.83	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $223.87	Professional		$107.15	$107.15	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $123.03	Professional		$93.33	$93.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $112.20	Facility		$100.00	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $251.19	Professional		$125.89	$177.83	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $177.83	Professional		$107.15	$117.49	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $229.09	Facility		$75.86	$131.83	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $125.89	Professional		$95.50	$117.49	$125.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $512.86	Facility		$100.00	$147.91	$512.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $512.86	Professional		$100.00	$147.91	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $131.83 / $239.88	Facility		$66.07	$131.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $134.90	Professional		$81.28	$87.10	$134.90