Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $94.93 / $41,806.40	Facility		$44.27	$94.93	$41,806.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.58 / $53.54	Professional		$42.16	$42.58	$53.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $87.27 / $137.86	Facility		$42.16	$87.27	$137.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $64.26	Professional		$42.16	$42.16	$64.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $41.85 / $42.16	Professional		$41.85	$41.85	$42.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $39.77 / $42.16	Facility		$39.77	$39.77	$42.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $42.16 / $50.59	Professional		$35.84	$42.16	$50.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $43.42 / $67.42	Facility		$29.17	$43.42	$67.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $55.00 / $71.00	Professional		$38.36	$55.00	$71.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $47.88 / $63.24	Facility		$42.16	$47.88	$63.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $47.88 / $63.24	Professional		$42.16	$47.88	$63.24
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $67.83 / $108.94	Facility		$41.11	$67.83	$108.94
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.69 / $47.68	Professional		$42.16	$44.69	$47.68