Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $114.91 / $114.91	Facility		$109.44	$114.91	$114.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $114.91	Professional		$109.44	$109.44	$114.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $148.09	Professional		$109.44	$109.44	$148.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $318.33 / $319.75	Professional		$318.33	$318.33	$319.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $103.24 / $109.44	Facility		$103.24	$103.24	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $109.44 / $1,501.44	Professional		$93.02	$109.44	$1,501.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $114.91 / $210.29	Facility		$109.44	$114.91	$210.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $525.29 / $670.00	Professional		$167.09	$525.29	$670.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.56 / $374.09 / $684.53	Facility		$294.56	$374.09	$684.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $374.09 / $684.53	Professional		$294.56	$374.09	$684.53
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $122.57	Professional		$109.44	$109.44	$122.57