Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $141.63 / $141.63	Facility		$134.88	$141.63	$141.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $180.05	Professional		$134.88	$134.88	$180.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $126.01 / $197.58	Professional		$126.01	$126.01	$197.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $134.88	Facility		$127.25	$127.25	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $134.88 / $175.36	Professional		$114.66	$134.88	$175.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $141.63 / $246.85	Facility		$134.88	$141.63	$246.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $211.47 / $318.91	Professional		$166.00	$211.47	$318.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.42 / $143.08 / $186.63	Facility		$124.42	$143.08	$186.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $143.08 / $186.63	Professional		$124.42	$143.08	$186.63
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63