Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $235.20 / $6,723.11	Facility		$104.08	$235.20	$6,723.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $104.08 / $113.99	Professional		$99.12	$104.08	$113.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $209.16 / $337.04	Facility		$99.13	$209.16	$337.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.12 / $229.99 / $347.08	Professional		$202.12	$229.99	$347.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $99.13	Facility		$93.52	$93.52	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $118.96 / $313.13	Professional		$84.26	$118.96	$313.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $588.36	Facility		$99.13	$99.13	$588.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $119.95 / $198.31	Facility		$94.17	$119.95	$198.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $119.95 / $198.31	Professional		$94.17	$119.95	$198.31
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $105.08 / $128.87	Professional		$99.13	$105.08	$128.87