Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $123.47 / $3,436.97	Facility		$72.84	$123.47	$3,436.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $81.37	Professional		$69.37	$69.37	$81.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $143.60 / $226.84	Facility		$69.37	$143.60	$226.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $96.32	Professional		$69.37	$69.37	$96.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.48 / $77.48	Professional		$69.37	$77.48	$77.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $69.37	Facility		$63.71	$63.71	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $69.37 / $83.24	Professional		$58.96	$69.37	$83.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $71.45 / $115.60	Facility		$36.40	$71.45	$115.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $85.00 / $104.00	Professional		$54.60	$85.00	$104.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $82.90 / $104.06	Facility		$69.37	$82.90	$104.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $82.90 / $104.06	Professional		$69.37	$82.90	$104.06
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $79.78	Professional		$69.37	$73.53	$79.78