Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $161.50 / $161.50	Professional		$152.00	$161.50	$161.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $202.88	Professional		$152.00	$152.00	$202.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Professional		$95.63	$95.63	$95.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $159.84 / $159.84	Professional		$142.08	$159.84	$159.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $190.00 / $245.96	Facility		$152.00	$190.00	$245.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $228.00 / $228.00	Professional		$190.00	$228.00	$228.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $154.19 / $279.23	Facility		$128.50	$154.19	$279.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $154.19 / $279.23	Professional		$128.50	$154.19	$279.23
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $177.60	Professional		$167.51	$167.51	$177.60