Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $132.24 / $15,686.37	Facility		$64.51	$132.24	$15,686.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $76.19	Professional		$61.44	$62.05	$76.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $127.18 / $200.91	Facility		$61.44	$127.18	$200.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $85.31	Professional		$61.44	$61.44	$85.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.97 / $62.97	Professional		$61.44	$62.97	$62.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $57.96 / $61.44	Facility		$57.96	$57.96	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $61.44 / $93.47	Professional		$52.22	$61.44	$93.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $68.38 / $112.44	Facility		$61.44	$68.38	$112.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $98.00 / $158.44	Professional		$66.02	$98.00	$158.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $73.73 / $93.50	Facility		$61.44	$73.73	$93.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $73.73 / $93.50	Professional		$61.44	$73.73	$93.50
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $72.50	Professional		$61.44	$65.13	$72.50