Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $107.67 / $108.81	Facility		$107.67	$107.67	$108.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $107.67 / $122.61	Professional		$104.63	$107.67	$122.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $204.15 / $216.81	Facility		$204.15	$204.15	$216.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $123.82 / $160.25	Professional		$123.82	$123.82	$160.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $139.55	Professional		$109.00	$109.00	$139.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $170.15 / $170.15	Facility		$105.00	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $183.74 / $244.98	Professional		$142.91	$183.74	$244.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $128.51 / $238.70	Facility		$65.75	$128.51	$238.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $268.14 / $340.04	Professional		$115.00	$268.14	$340.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $153.41 / $255.19	Facility		$111.85	$153.41	$255.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $153.41 / $255.19	Professional		$111.85	$153.41	$255.19
United Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $101.84 / $156.94	Professional		$92.05	$101.84	$156.94