Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $117.62 / $9,604.32	Facility		$56.07	$117.62	$9,604.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $58.87 / $91.83	Professional		$56.07	$58.87	$91.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $118.31 / $190.64	Facility		$56.07	$118.31	$190.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $84.27 / $127.16	Professional		$74.05	$84.27	$127.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $52.89 / $56.07	Facility		$52.89	$52.89	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $64.73 / $67.28	Professional		$47.66	$64.73	$67.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $55.91 / $80.54	Facility		$55.91	$55.91	$80.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $54.39 / $71.77	Facility		$52.25	$54.39	$71.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $54.39 / $71.77	Professional		$52.25	$54.39	$71.77
United Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $90.70 / $145.66	Facility		$54.97	$90.70	$145.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $56.07 / $64.73	Professional		$54.39	$56.07	$64.73