Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $55,171.20	Facility		$102.85	$102.85	$55,171.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $102.85 / $102.85	Professional		$96.80	$102.85	$102.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $96.80 / $129.19	Professional		$96.80	$96.80	$129.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $94.71	Professional		$94.71	$94.71	$94.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $108.93 / $108.93	Professional		$96.82	$108.93	$108.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $121.00 / $156.63	Facility		$102.85	$121.00	$156.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $121.00 / $121.00	Professional		$114.95	$121.00	$121.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $114.95 / $165.00	Facility		$110.00	$114.95	$165.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $114.95 / $165.00	Professional		$110.00	$114.95	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $121.03	Professional		$110.00	$110.00	$121.03