Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $50.26 / $9,201.00	Facility		$27.05	$50.26	$9,201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.02 / $32.21	Professional		$25.77	$26.02	$32.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $53.34 / $84.27	Facility		$25.77	$53.34	$84.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $35.78	Professional		$25.77	$25.77	$35.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $25.76	Professional		$23.93	$23.93	$25.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $25.77	Facility		$20.23	$20.23	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $25.77 / $33.38	Professional		$21.90	$25.77	$33.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $28.40 / $50.26	Facility		$25.77	$28.40	$50.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $53.90 / $89.00	Professional		$33.00	$53.90	$89.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $30.92 / $73.61	Facility		$25.77	$30.92	$73.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $30.92 / $73.61	Professional		$25.77	$30.92	$73.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $30.44	Professional		$25.77	$27.32	$30.44