Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $208.93 / $33,113.11	Facility		$81.28	$208.93	$33,113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $281.84	Facility		$81.28	$154.88	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $128.82	Professional		$81.28	$81.28	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Facility		$77.62	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $95.50	Professional		$69.18	$81.28	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $138.04	Facility		$81.28	$87.10	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Professional		$77.62	$81.28	$81.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $120.23	Facility		$77.62	$91.20	$120.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $120.23	Professional		$77.62	$91.20	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Facility		$81.28	$81.28	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $93.33	Professional		$81.28	$87.10	$93.33