Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.54 / $5,048.00 / $10,767.00	Facility		$108.54	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $107.00 / $112.37	Professional		$27.27	$107.00	$112.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $39.47 / $82.36	Professional		$30.86	$39.47	$82.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $67.19 / $910.00	Professional		$67.19	$67.19	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $640.00	Facility		$117.94	$117.94	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.57 / $489.57 / $489.57	Professional		$489.57	$489.57	$489.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $125.99 / $145.77	Professional		$98.49	$125.99	$145.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.64 / $118.31 / $180.83	Facility		$90.64	$118.31	$180.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $170.59 / $243.86	Professional		$134.52	$170.59	$243.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $129.06 / $982.00	Facility		$67.64	$129.06	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $131.29 / $982.00	Professional		$97.48	$131.29	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $114.28 / $195.60	Professional		$77.90	$114.28	$195.60