Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.38 / $3,613.73 / $77,388.00	Facility		$62.38	$3,613.73	$77,388.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $62.38 / $97.31	Professional		$59.40	$62.38	$97.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $125.36 / $201.99	Facility		$59.41	$125.36	$201.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $93.79 / $141.53	Professional		$82.42	$93.79	$141.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $56.05 / $59.41	Facility		$56.05	$56.05	$59.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $71.29 / $82.56	Professional		$50.50	$71.29	$82.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $59.41 / $103.18	Facility		$59.41	$59.41	$103.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $66.13 / $78.43	Facility		$56.44	$66.13	$78.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $66.13 / $78.43	Professional		$56.44	$66.13	$78.43
United Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $59.41 / $74.56	Professional		$57.63	$59.41	$74.56