Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $102.80 / $102.80	Professional		$96.75	$102.80	$102.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $129.68	Professional		$96.75	$96.75	$129.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $108.92 / $108.92	Professional		$96.82	$108.92	$108.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $120.94 / $156.56	Facility		$102.80	$120.94	$156.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $120.94 / $120.94	Professional		$114.89	$120.94	$120.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $114.89 / $151.16	Facility		$100.78	$114.89	$151.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $114.89 / $151.16	Professional		$100.78	$114.89	$151.16
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $108.92	Professional		$100.78	$100.78	$108.92