Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $1,065.93 / $8,294.00	Facility		$28.63	$1,065.93	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $29.26 / $43.63	Professional		$21.26	$29.26	$43.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $32.40 / $47.65	Professional		$23.48	$32.40	$47.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $916.00	Professional		$25.74	$25.74	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $42.41 / $42.41	Facility		$42.41	$42.41	$42.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $35.07 / $64.64	Professional		$24.00	$35.07	$64.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $37.34 / $44.45	Professional		$33.78	$37.34	$44.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $32.79 / $49.20	Facility		$24.34	$32.79	$49.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $45.00 / $71.40	Professional		$41.00	$45.00	$71.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $34.27 / $1,098.00	Facility		$25.23	$34.27	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $45.63 / $1,098.00	Professional		$33.22	$45.63	$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 $27.97 / $36.71 / $61.63	Professional		$27.97	$36.71	$61.63