Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $85.11	Facility		$83.18	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $151.36	Professional		$74.13	$87.10	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Facility		$162.18	$162.18	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $204.17	Professional		$97.72	$97.72	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Professional		$85.11	$85.11	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $112.20	Facility		$75.86	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $229.09	Professional		$114.82	$162.18	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $158.49	Professional		$79.43	$107.15	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $223.87	Facility		$69.18	$117.49	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $125.89	Professional		$87.10	$107.15	$125.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $467.74	Facility		$91.20	$131.83	$467.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $467.74	Professional		$91.20	$131.83	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $120.23 / $218.78	Facility		$60.26	$120.23	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $123.03	Professional		$74.13	$79.43	$123.03