Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $106.08 / $340.47	Facility		$101.03	$106.08	$340.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $102.04 / $108.34	Professional		$101.03	$102.04	$108.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $138.41 / $297.33	Facility		$101.03	$138.41	$297.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $135.41	Professional		$101.03	$101.03	$135.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $114.24 / $141.91	Professional		$114.24	$114.24	$141.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $95.31 / $101.03	Facility		$95.31	$95.31	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $101.03 / $227.46	Professional		$85.88	$101.03	$227.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $106.08 / $186.59	Facility		$101.03	$106.08	$186.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $192.08 / $249.05	Professional		$103.77	$192.08	$249.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $93.39 / $209.38	Facility		$58.99	$93.39	$209.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $93.39 / $209.38	Professional		$58.99	$93.39	$209.38
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $113.15	Professional		$101.03	$101.03	$113.15