Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $102.84 / $102.84	Facility		$97.94	$102.84	$102.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $102.84	Professional		$97.94	$97.94	$102.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $134.18 / $288.24	Facility		$97.94	$134.18	$288.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $131.27	Professional		$97.94	$97.94	$131.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $105.06 / $105.06	Professional		$105.06	$105.06	$105.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $92.40 / $97.94	Facility		$92.40	$92.40	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $97.94 / $190.68	Professional		$83.25	$97.94	$190.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $98.63 / $165.52	Facility		$97.94	$98.63	$165.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $121.09 / $217.00	Professional		$71.23	$121.09	$217.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $107.55 / $205.23	Facility		$98.67	$107.55	$205.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $107.55 / $205.23	Professional		$98.67	$107.55	$205.23
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $122.91	Professional		$97.94	$97.94	$122.91