Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.22 / $100.22 / $101.29	Facility		$100.22	$100.22	$101.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $100.22 / $104.47	Professional		$92.53	$100.22	$104.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $190.02 / $201.80	Facility		$190.02	$190.02	$201.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $153.41 / $188.64	Professional		$153.41	$153.41	$188.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $106.08 / $106.08	Professional		$106.08	$106.08	$106.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $171.02 / $228.02	Professional		$133.01	$171.02	$228.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $117.26 / $216.31	Facility		$56.03	$117.26	$216.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $249.60 / $316.52	Professional		$137.30	$249.60	$316.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $143.40 / $237.53	Facility		$104.10	$143.40	$237.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $143.40 / $237.53	Professional		$104.10	$143.40	$237.53
United Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $94.80 / $136.00	Professional		$86.78	$94.80	$136.00