Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $48,977.88	Facility		$42.66	$91.20	$48,977.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $147.91	Facility		$43.65	$87.10	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $72.44	Professional		$43.65	$43.65	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $102.33	Professional		$58.88	$67.61	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $43.65 / $43.65	Facility		$40.74	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $52.48	Professional		$37.15	$43.65	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $77.62	Facility		$43.65	$44.67	$77.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $48.98 / $63.10	Facility		$40.74	$48.98	$63.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $63.10	Professional		$40.74	$48.98	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $70.79	Facility		$42.66	$43.65	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $52.48	Professional		$41.69	$43.65	$52.48