Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $133.82 / $16,567.20	Facility		$76.86	$133.82	$16,567.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.93 / $119.90	Professional		$73.20	$73.93	$119.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $151.52 / $239.36	Facility		$73.20	$151.52	$239.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $98.11	Professional		$73.20	$73.20	$98.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $73.04 / $73.20	Professional		$73.04	$73.04	$73.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $73.20	Facility		$69.06	$69.06	$73.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Professional		$73.20	$73.20	$73.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $73.20 / $95.63	Professional		$62.22	$73.20	$95.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $82.57 / $128.10	Facility		$66.00	$82.57	$128.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $107.00 / $172.00	Professional		$75.00	$107.00	$172.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $85.11 / $109.80	Facility		$73.20	$85.11	$109.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $85.11 / $109.80	Professional		$73.20	$85.11	$109.80
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $84.18	Professional		$73.20	$77.59	$84.18