Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $114.37 / $37,680.75	Facility		$53.27	$114.37	$37,680.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $53.27 / $55.50	Professional		$50.74	$53.27	$55.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $107.06 / $172.52	Facility		$50.74	$107.06	$172.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $75.77 / $114.34	Professional		$66.58	$75.77	$114.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $50.74	Facility		$47.87	$47.87	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $60.89 / $115.12	Professional		$43.13	$60.89	$115.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $72.09 / $83.95	Facility		$50.74	$72.09	$83.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $61.40 / $102.46	Facility		$48.20	$61.40	$102.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $61.40 / $102.46	Professional		$48.20	$61.40	$102.46
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $60.89	Professional		$50.74	$50.74	$60.89