Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $85.18 / $6,318.00	Facility		$44.60	$85.18	$6,318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $46.83 / $75.81	Professional		$44.60	$46.83	$75.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $94.11 / $151.63	Facility		$44.60	$94.11	$151.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $59.66 / $90.04	Professional		$52.43	$59.66	$90.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $42.07 / $44.60	Facility		$42.07	$42.07	$44.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $53.52 / $58.86	Professional		$37.90	$53.52	$58.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $50.25 / $66.09	Facility		$18.13	$50.25	$66.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $47.19 / $57.09	Facility		$42.37	$47.19	$57.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $47.19 / $57.09	Professional		$42.37	$47.19	$57.09
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $44.60 / $55.97	Professional		$43.88	$44.60	$55.97