Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $118.97 / $120.23	Facility		$118.97	$118.97	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $118.97 / $120.23	Professional		$110.71	$118.97	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $239.56	Facility		$225.57	$225.57	$239.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $117.63 / $154.32	Professional		$117.63	$117.63	$154.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $154.19	Professional		$121.00	$121.00	$154.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $126.98	Professional		$92.70	$92.70	$126.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $203.01 / $270.68	Professional		$157.90	$203.01	$270.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $138.72 / $253.11	Facility		$62.01	$138.72	$253.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $296.29 / $375.73	Professional		$108.00	$296.29	$375.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $170.24 / $281.95	Facility		$123.59	$170.24	$281.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $170.24 / $281.95	Professional		$123.59	$170.24	$281.95
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $112.54 / $161.44	Professional		$101.71	$112.54	$161.44