Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $124.20 / $125.52	Facility		$124.20	$124.20	$125.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $124.20 / $140.57	Professional		$120.19	$124.20	$140.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.50 / $235.50 / $250.10	Facility		$235.50	$235.50	$250.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $172.92	Professional		$137.37	$137.37	$172.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $160.99	Professional		$126.00	$126.00	$160.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $211.95 / $282.60	Professional		$164.85	$211.95	$282.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $145.31 / $270.83	Facility		$72.11	$145.31	$270.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $309.33 / $392.26	Professional		$130.00	$309.33	$392.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.03 / $177.74 / $294.38	Facility		$129.03	$177.74	$294.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $177.74 / $294.38	Professional		$129.03	$177.74	$294.38
United Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $117.49 / $172.12	Professional		$106.19	$117.49	$172.12