Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $84.31 / $85.20	Facility		$84.31	$84.31	$85.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $84.31 / $96.01	Professional		$75.58	$84.31	$96.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.85 / $159.85 / $169.76	Facility		$159.85	$159.85	$169.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $125.40	Professional		$97.21	$97.21	$125.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $109.28	Professional		$86.00	$86.00	$109.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.25	Professional		$82.67	$82.67	$113.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $143.87 / $191.82	Professional		$111.90	$143.87	$191.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $98.31 / $183.83	Facility		$51.48	$98.31	$183.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $209.97 / $266.26	Professional		$101.00	$209.97	$266.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $120.13 / $199.81	Facility		$89.00	$120.13	$199.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $120.13 / $199.81	Professional		$89.00	$120.13	$199.81
United Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $79.75 / $122.89	Professional		$74.76	$79.75	$122.89