Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $79.63 / $16,187.67	Facility		$29.39	$79.63	$16,187.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $36.35	Professional		$27.99	$28.27	$36.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $57.94 / $91.53	Facility		$27.99	$57.94	$91.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $38.86	Professional		$27.99	$27.99	$38.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $28.62	Professional		$27.99	$28.62	$28.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $22.33 / $27.99	Facility		$22.33	$22.33	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $27.99 / $87.20	Professional		$23.79	$27.99	$87.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $29.67 / $52.01	Facility		$27.99	$29.67	$52.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $53.12 / $98.00	Professional		$28.00	$53.12	$98.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $33.59 / $96.89	Facility		$27.99	$33.59	$96.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $33.59 / $96.89	Professional		$27.99	$33.59	$96.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $33.03	Professional		$27.99	$29.67	$33.03