Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $1,587.00 / $6,725.27	Facility		$30.85	$1,587.00	$6,725.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $30.85 / $52.29	Professional		$29.37	$30.85	$52.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $61.99 / $99.89	Facility		$29.38	$61.99	$99.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $41.63 / $62.82	Professional		$36.58	$41.63	$62.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $27.72 / $29.38	Facility		$27.72	$27.72	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $35.26 / $36.58	Professional		$24.97	$35.26	$36.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $32.39 / $34.65	Facility		$29.38	$32.39	$34.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $30.05 / $37.61	Facility		$27.91	$30.05	$37.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.05 / $37.61	Professional		$27.91	$30.05	$37.61
United Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.14 / $36.58	Professional		$29.38	$31.14	$36.58