Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $5,048.00 / $10,767.00	Facility		$28.00	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $12.05 / $28.00	Professional		$6.28	$12.05	$28.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $145.27 / $204.97	Professional		$116.98	$145.27	$204.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $9.03	Professional		$7.86	$7.86	$9.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $32.72 / $32.72	Professional		$32.72	$32.72	$32.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $8.17 / $9.73	Professional		$7.32	$8.17	$9.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $17.23 / $30.52	Facility		$6.92	$17.23	$30.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.38 / $30.00	Professional		$10.00	$20.38	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $21.21 / $62.11	Facility		$11.73	$21.21	$62.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $21.21 / $62.11	Professional		$11.73	$21.21	$62.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.68 / $8.65	Professional		$5.34	$6.68	$8.65