Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $67.38 / $1,873.90	Facility		$63.06	$67.38	$1,873.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.20 / $70.05	Professional		$63.06	$66.20	$70.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $133.06 / $214.40	Facility		$63.06	$133.06	$214.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $156.69 / $236.48	Professional		$137.71	$156.69	$236.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $63.06	Facility		$59.49	$59.49	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $75.67 / $280.81	Professional		$53.60	$75.67	$280.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $287.97 / $349.23	Facility		$63.06	$287.97	$349.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $76.30 / $312.64	Facility		$59.91	$76.30	$312.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $76.30 / $312.64	Professional		$59.91	$76.30	$312.64
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.84 / $81.98	Professional		$63.06	$66.84	$81.98