Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $92.38 / $92.38	Facility		$87.98	$92.38	$92.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $92.38	Professional		$87.98	$87.98	$92.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $117.92	Professional		$87.98	$87.98	$117.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $155.01 / $205.15	Professional		$155.01	$155.01	$205.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $87.98	Facility		$83.00	$83.00	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $87.98 / $112.33	Professional		$74.78	$87.98	$112.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $92.38 / $155.01	Facility		$87.98	$92.38	$155.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $263.45 / $352.94	Professional		$138.00	$263.45	$352.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $192.08 / $346.17	Facility		$148.96	$192.08	$346.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $192.08 / $346.17	Professional		$148.96	$192.08	$346.17
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $92.38	Professional		$87.98	$87.98	$92.38