Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $99.05 / $6,148.59	Facility		$58.43	$99.05	$6,148.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $69.56	Professional		$55.65	$56.20	$69.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $115.20 / $181.98	Facility		$55.65	$115.20	$181.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $74.59	Professional		$55.65	$55.65	$74.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $55.65	Professional		$55.09	$55.09	$55.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $55.65	Facility		$52.50	$52.50	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $55.65 / $70.77	Professional		$47.30	$55.65	$70.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $60.18 / $89.04	Facility		$29.29	$60.18	$89.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $66.30 / $78.86	Professional		$44.00	$66.30	$78.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $66.78 / $83.48	Facility		$55.65	$66.78	$83.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $66.78 / $83.48	Professional		$55.65	$66.78	$83.48
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $65.67	Professional		$55.65	$58.99	$65.67