Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $147.90 / $147.90	Professional		$139.19	$147.90	$147.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $185.80	Professional		$139.19	$139.19	$185.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $156.60 / $156.60	Professional		$139.19	$156.60	$156.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $174.00 / $225.25	Facility		$147.90	$174.00	$225.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $174.00 / $174.00	Professional		$165.30	$174.00	$174.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $165.30 / $217.50	Facility		$145.00	$165.30	$217.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $165.30 / $217.50	Professional		$145.00	$165.30	$217.50
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $154.72	Professional		$145.00	$145.00	$154.72