Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $17,782.79	Facility		$85.11	$208.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $275.42	Facility		$81.28	$154.88	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Professional		$81.28	$81.28	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $123.03	Professional		$81.28	$81.28	$123.03
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 / $102.33	Professional		$69.18	$81.28	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $134.90	Facility		$81.28	$87.10	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $120.23	Facility		$77.62	$97.72	$120.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $120.23	Professional		$77.62	$97.72	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $123.03	Facility		$75.86	$81.28	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $95.50	Professional		$81.28	$87.10	$95.50