Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $93.60	Facility		$92.61	$92.61	$93.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $92.61 / $114.32	Professional		$91.53	$92.61	$114.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $175.60 / $186.49	Facility		$175.60	$175.60	$186.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $107.08 / $138.01	Professional		$107.08	$107.08	$138.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $98.41 / $120.04	Professional		$94.00	$98.41	$120.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.86 / $113.00 / $113.00	Facility		$93.86	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $113.00	Professional		$82.49	$82.49	$113.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $158.04 / $210.72	Professional		$122.92	$158.04	$210.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $111.38 / $199.89	Facility		$56.56	$111.38	$199.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $230.65 / $292.50	Professional		$99.00	$230.65	$292.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $132.53 / $219.50	Facility		$100.00	$132.53	$219.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $132.53 / $219.50	Professional		$100.00	$132.53	$219.50
United Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $87.61 / $135.00	Professional		$81.65	$87.61	$135.00