Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $98.91 / $6,697.54	Facility		$58.35	$98.91	$6,697.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $76.31	Professional		$55.57	$56.11	$76.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $115.03 / $181.71	Facility		$55.57	$115.03	$181.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $84.70	Professional		$55.57	$55.57	$84.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $54.66 / $55.57	Professional		$54.66	$54.66	$55.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $52.42 / $55.57	Facility		$52.42	$52.42	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $55.57 / $70.45	Professional		$47.23	$55.57	$70.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $58.35 / $92.60	Facility		$45.23	$58.35	$92.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $75.00 / $117.72	Professional		$43.85	$75.00	$117.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $66.68 / $83.36	Facility		$55.57	$66.68	$83.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $66.68 / $83.36	Professional		$55.57	$66.68	$83.36
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.90 / $62.82	Professional		$55.57	$58.90	$62.82