Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $233.01 / $1,257.11	Facility		$47.24	$233.01	$1,257.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $90.74	Professional		$40.65	$41.20	$90.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.12	Professional		$40.65	$40.65	$54.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $57.17	Professional		$40.65	$41.20	$57.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $40.65 / $167.40	Professional		$34.54	$40.65	$167.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $56.88 / $86.99	Facility		$40.65	$56.88	$86.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $87.00 / $127.00	Professional		$57.00	$87.00	$127.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $48.78 / $183.21	Facility		$40.65	$48.78	$183.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $48.78 / $183.21	Professional		$40.65	$48.78	$183.21
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $62.09	Professional		$40.65	$40.65	$62.09