Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $106.73 / $107.87	Facility		$106.73	$106.73	$107.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $106.73 / $128.97	Professional		$100.97	$106.73	$128.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.38 / $202.38 / $214.93	Facility		$202.38	$202.38	$214.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $144.94 / $181.18	Professional		$144.94	$144.94	$181.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $138.35	Professional		$109.00	$109.00	$138.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $170.89	Professional		$124.75	$124.75	$170.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $182.14 / $242.86	Professional		$141.66	$182.14	$242.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $124.47 / $232.74	Facility		$65.18	$124.47	$232.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $265.83 / $337.10	Professional		$136.00	$265.83	$337.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $152.09 / $252.98	Facility		$110.88	$152.09	$252.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $152.09 / $252.98	Professional		$110.88	$152.09	$252.98
United Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $100.96 / $155.59	Professional		$95.91	$100.96	$155.59