Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.38 / $179.02 / $39,779.10	Facility		$89.38	$179.02	$39,779.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $106.56	Professional		$85.12	$85.96	$106.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $176.20 / $278.33	Facility		$85.12	$176.20	$278.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $114.09	Professional		$85.12	$85.12	$114.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.25 / $85.25	Professional		$85.12	$85.25	$85.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $80.30 / $85.12	Facility		$80.30	$80.30	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Professional		$85.12	$85.12	$85.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $85.12 / $103.07	Professional		$72.34	$85.12	$103.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.11 / $89.38 / $139.13	Facility		$81.11	$89.38	$139.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $118.35 / $193.70	Professional		$80.70	$118.35	$193.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $97.89 / $127.68	Facility		$85.12	$97.89	$127.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $97.89 / $127.68	Professional		$85.12	$97.89	$127.68
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $90.23 / $100.44	Professional		$85.12	$90.23	$100.44