Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $77.95 / $78.79	Facility		$77.95	$77.95	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $77.95 / $81.23	Professional		$71.98	$77.95	$81.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $147.81 / $156.97	Facility		$147.81	$147.81	$156.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $101.55 / $126.58	Professional		$101.55	$101.55	$126.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $101.05	Professional		$82.50	$82.50	$101.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $98.15	Professional		$71.65	$71.65	$98.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $133.03 / $177.37	Professional		$103.47	$133.03	$177.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $90.89 / $165.81	Facility		$43.56	$90.89	$165.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $194.15 / $246.21	Professional		$85.00	$194.15	$246.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $111.87 / $185.08	Facility		$85.26	$111.87	$185.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $111.87 / $185.08	Professional		$85.26	$111.87	$185.08
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $73.73 / $121.32	Professional		$67.48	$73.73	$121.32