Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $116.71 / $116.71	Facility		$111.15	$116.71	$116.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $116.71	Professional		$111.15	$111.15	$116.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $335.16 / $447.37	Professional		$335.16	$335.16	$447.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $335.16 / $373.72	Professional		$335.16	$335.16	$373.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $104.86 / $111.15	Facility		$104.86	$104.86	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $111.15 / $285.98	Professional		$94.48	$111.15	$285.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $116.71 / $317.22	Facility		$111.15	$116.71	$317.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $555.14 / $762.82	Professional		$374.00	$555.14	$762.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $379.00 / $673.26	Facility		$314.02	$379.00	$673.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $379.00 / $673.26	Professional		$314.02	$379.00	$673.26
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $122.23	Professional		$111.15	$111.15	$122.23