Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $930.06 / $8,503.24	Facility		$49.92	$930.06	$8,503.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.02 / $73.70	Professional		$47.55	$48.02	$73.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $98.43 / $155.49	Facility		$47.55	$98.43	$155.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $66.02	Professional		$47.55	$47.55	$66.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $44.71 / $47.55	Professional		$44.71	$44.71	$47.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $41.89 / $47.55	Facility		$41.89	$41.89	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $47.55 / $97.93	Professional		$40.42	$47.55	$97.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $49.92 / $91.35	Facility		$47.55	$49.92	$91.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $53.39 / $164.00	Professional		$32.28	$53.39	$164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $57.06 / $108.81	Facility		$47.55	$57.06	$108.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $57.06 / $108.81	Professional		$47.55	$57.06	$108.81
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $50.40 / $56.11	Professional		$47.55	$50.40	$56.11