Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.91 / $191.14 / $11,023.01	Facility		$95.91	$191.14	$11,023.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $116.00	Professional		$91.34	$92.25	$116.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $189.07 / $298.68	Facility		$91.34	$189.07	$298.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $122.43	Professional		$91.34	$91.34	$122.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.02 / $91.34	Professional		$91.02	$91.02	$91.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $86.17 / $91.34	Facility		$86.17	$86.17	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $91.34 / $115.92	Professional		$77.64	$91.34	$115.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $95.91 / $148.72	Facility		$75.79	$95.91	$148.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $111.50 / $204.02	Professional		$88.88	$111.50	$204.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $105.04 / $137.01	Facility		$91.34	$105.04	$137.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $105.04 / $137.01	Professional		$91.34	$105.04	$137.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $96.82 / $107.78	Professional		$91.34	$96.82	$107.78