Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $103.01 / $103.01	Facility		$98.11	$103.01	$103.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $103.01	Professional		$98.11	$98.11	$103.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $130.94	Professional		$98.11	$98.11	$130.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $215.56 / $215.56	Professional		$215.56	$215.56	$215.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.55 / $98.11	Facility		$92.55	$92.55	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $98.11 / $127.54	Professional		$83.39	$98.11	$127.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $103.01 / $179.54	Facility		$98.11	$103.01	$179.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $165.00 / $165.00	Professional		$98.11	$165.00	$165.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $219.21 / $236.52 / $346.13	Facility		$219.21	$236.52	$346.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $219.21 / $236.52 / $346.13	Professional		$219.21	$236.52	$346.13
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.89	Professional		$98.11	$98.11	$107.89