Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $107.15	Facility		$100.00	$100.00	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $269.15	Professional		$100.00	$100.00	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $371.54	Professional		$218.78	$218.78	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $162.18	Professional		$158.49	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $102.33	Facility		$95.50	$95.50	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $263.03	Professional		$120.23	$173.78	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $269.15	Facility		$102.33	$112.20	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $234.42	Professional		$102.33	$102.33	$234.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $186.21	Facility		$89.13	$112.20	$186.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $186.21	Professional		$89.13	$112.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $223.87	Professional		$125.89	$134.90	$223.87