Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $133.12 / $17,605.49	Facility		$65.20	$133.12	$17,605.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.72 / $80.51	Professional		$62.10	$62.72	$80.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $128.55 / $203.07	Facility		$62.10	$128.55	$203.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $83.38	Professional		$62.10	$62.10	$83.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $63.39 / $63.39	Professional		$62.09	$63.39	$63.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $58.58 / $62.10	Facility		$58.58	$58.58	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $92.74	Professional		$52.79	$62.10	$92.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $65.20 / $109.47	Facility		$62.10	$65.20	$109.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $120.86 / $160.91	Professional		$75.97	$120.86	$160.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $74.52 / $93.15	Facility		$62.10	$74.52	$93.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $74.52 / $93.15	Professional		$62.10	$74.52	$93.15
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.83 / $73.90	Professional		$62.10	$65.83	$73.90