Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $87.14 / $16,425.59	Facility		$48.96	$87.14	$16,425.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $51.41 / $80.19	Professional		$48.96	$51.41	$80.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $103.31 / $166.46	Facility		$48.96	$103.31	$166.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $77.17 / $116.46	Professional		$67.81	$77.17	$116.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $46.19 / $48.96	Facility		$46.19	$46.19	$48.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $58.75 / $103.29	Professional		$41.62	$58.75	$103.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $66.04 / $70.33	Facility		$26.16	$66.04	$70.33
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 $46.51 / $59.24 / $79.42	Facility		$46.51	$59.24	$79.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $59.24 / $79.42	Professional		$46.51	$59.24	$79.42
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $58.75	Professional		$48.96	$48.96	$58.75