Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $112.04 / $1,315.44	Facility		$106.70	$112.04	$1,315.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $112.04	Professional		$106.70	$106.70	$112.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $143.02	Professional		$106.70	$106.70	$143.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Professional		$187.00	$187.00	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $100.66 / $106.70	Facility		$100.66	$100.66	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $106.70 / $507.56	Professional		$90.70	$106.70	$507.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $112.04 / $211.90	Facility		$106.70	$112.04	$211.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $209.00 / $615.99	Professional		$158.24	$209.00	$615.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $215.42 / $226.41 / $323.13	Facility		$215.42	$226.41	$323.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $226.41 / $323.13	Professional		$215.42	$226.41	$323.13
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $113.85	Professional		$106.70	$106.70	$113.85