Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $812.00 / $6,827.70	Facility		$68.98	$812.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $68.79 / $131.65	Professional		$44.78	$68.79	$131.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $71.75 / $105.91	Professional		$51.72	$71.75	$105.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $57.40 / $916.00	Professional		$57.40	$57.40	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $92.48 / $92.48	Facility		$92.48	$92.48	$92.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $71.72 / $135.88	Professional		$50.91	$71.72	$135.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $83.39 / $99.28	Professional		$75.45	$83.39	$99.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.51 / $71.05 / $102.23	Facility		$53.51	$71.05	$102.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $97.00 / $143.00	Professional		$91.00	$97.00	$143.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $68.05 / $1,098.00	Facility		$45.71	$68.05	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $88.37 / $1,098.00	Professional		$59.64	$88.37	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $76.48 / $131.46	Professional		$51.43	$76.48	$131.46