Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $100.00	Professional		$79.43	$83.18	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $151.36	Professional		$79.43	$79.43	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $239.88	Professional		$120.23	$144.54	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $154.88	Facility		$83.18	$100.00	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $109.65	Professional		$95.50	$100.00	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Facility		$114.82	$138.04	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Professional		$114.82	$138.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $162.18	Professional		$125.89	$154.88	$162.18