Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $76.47 / $199.88	Facility		$76.47	$76.47	$199.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $76.47 / $82.80	Professional		$46.70	$76.47	$82.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.99 / $144.99 / $153.97	Facility		$144.99	$144.99	$153.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $87.89 / $109.87	Professional		$87.89	$87.89	$109.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $99.11	Professional		$78.00	$78.00	$99.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $128.85	Facility		$126.00	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $128.85	Professional		$109.52	$109.52	$128.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $123.24 / $173.99	Professional		$101.49	$123.24	$173.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $89.17 / $165.05	Facility		$46.70	$89.17	$165.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $190.44 / $241.50	Professional		$98.00	$190.44	$241.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.64 / $108.96 / $181.24	Facility		$83.64	$108.96	$181.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $108.96 / $181.24	Professional		$83.64	$108.96	$181.24
United Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $72.34 / $111.46	Professional		$68.72	$72.34	$111.46