Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $54.95 / $1,445.44	Facility		$25.70	$54.95	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $85.11	Professional		$25.70	$26.30	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $48.98 / $89.13	Facility		$26.30	$48.98	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $43.65	Professional		$26.30	$26.30	$43.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $43.65	Professional		$26.30	$26.30	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $26.30 / $26.30	Facility		$24.55	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $194.98	Professional		$22.39	$26.30	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $89.13	Professional		$19.50	$19.50	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $158.49	Facility		$25.12	$32.36	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $234.42	Professional		$131.83	$154.88	$234.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.88 / $169.82	Facility		$24.55	$33.88	$169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $169.82	Professional		$24.55	$33.88	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.30 / $42.66	Facility		$20.42	$26.30	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $30.90	Professional		$26.30	$27.54	$30.90