Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $831.76 / $20,892.96	Facility		$30.20	$831.76	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $102.33	Facility		$30.20	$60.26	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $72.44	Professional		$42.66	$48.98	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $30.20	Facility		$24.55	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $102.33	Professional		$25.70	$30.20	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $47.86	Facility		$30.20	$30.20	$47.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $87.10	Facility		$28.84	$44.67	$87.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $87.10	Professional		$28.84	$44.67	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.20 / $57.54	Facility		$29.51	$30.20	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $50.12	Professional		$30.20	$42.66	$50.12