Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $112.32 / $112.32	Facility		$106.97	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.32	Professional		$106.97	$106.97	$112.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $142.78	Professional		$106.97	$106.97	$142.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $99.16 / $99.16	Professional		$99.16	$99.16	$99.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $100.91 / $106.97	Facility		$100.91	$100.91	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $105.08 / $106.97	Professional		$90.92	$105.08	$106.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $171.06	Facility		$106.97	$106.97	$171.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $69.00 / $106.45	Professional		$51.00	$69.00	$106.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.38 / $106.45 / $140.07	Facility		$93.38	$106.45	$140.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $106.45 / $140.07	Professional		$93.38	$106.45	$140.07
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $114.14	Professional		$106.97	$106.97	$114.14