Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $71.26 / $141.69	Facility		$61.80	$71.26	$141.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $64.89 / $68.65	Professional		$61.79	$64.89	$68.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $130.40 / $210.12	Facility		$61.80	$130.40	$210.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $245.49 / $370.46	Professional		$215.73	$245.49	$370.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $61.80	Facility		$55.28	$55.28	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $74.16 / $279.33	Professional		$52.53	$74.16	$279.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $98.83	Facility		$61.80	$61.80	$98.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $74.78 / $248.61	Facility		$58.71	$74.78	$248.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $74.78 / $248.61	Professional		$58.71	$74.78	$248.61
United Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $61.80 / $83.00	Professional		$60.80	$61.80	$83.00