Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $185.76 / $32,887.39	Facility		$86.18	$185.76	$32,887.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $90.28	Professional		$82.08	$82.08	$90.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $169.88 / $268.37	Facility		$82.07	$169.88	$268.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $111.57	Professional		$82.08	$82.08	$111.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $81.91 / $82.08	Professional		$81.91	$81.91	$82.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $77.43 / $82.07	Facility		$77.43	$77.43	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $82.08 / $98.50	Professional		$69.77	$82.08	$98.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $85.36 / $131.25	Facility		$72.95	$85.36	$131.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $111.00 / $174.91	Professional		$78.38	$111.00	$174.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $92.92 / $123.12	Facility		$82.08	$92.92	$123.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $92.92 / $123.12	Professional		$82.08	$92.92	$123.12
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $87.00 / $92.68	Professional		$82.08	$87.00	$92.68