Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $85.96 / $85.96	Professional		$80.90	$85.96	$85.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $108.63	Professional		$80.90	$80.90	$108.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $104.90 / $104.90	Professional		$104.90	$104.90	$104.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $92.46 / $136.47	Professional		$69.39	$92.46	$136.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $101.13 / $157.31	Facility		$85.96	$101.13	$157.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $132.00 / $234.00	Professional		$100.93	$132.00	$234.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $96.07 / $125.91	Facility		$83.94	$96.07	$125.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $96.07 / $125.91	Professional		$83.94	$96.07	$125.91
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $143.29	Professional		$136.47	$136.47	$143.29