Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $101.13 / $7,668.96	Facility		$42.31	$101.13	$7,668.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.70 / $68.48	Professional		$40.29	$40.70	$68.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $83.40 / $131.75	Facility		$40.29	$83.40	$131.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $55.94	Professional		$40.29	$40.29	$55.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $44.59 / $44.59	Professional		$40.29	$44.59	$44.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $34.63 / $40.29	Facility		$34.63	$34.63	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $40.29 / $81.42	Professional		$34.25	$40.29	$81.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $44.32 / $100.36	Facility		$40.29	$44.32	$100.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $76.00 / $164.00	Professional		$58.79	$76.00	$164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $48.35 / $75.00	Facility		$40.29	$48.35	$75.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $48.35 / $75.00	Professional		$40.29	$48.35	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $47.54	Professional		$40.29	$42.71	$47.54