Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $323.63 / $8,294.00	Facility		$67.34	$323.63	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $115.01 / $168.87	Professional		$50.99	$115.01	$168.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $103.12 / $179.66	Professional		$46.76	$103.12	$179.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $56.43 / $676.00	Professional		$53.47	$56.43	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $104.99 / $249.78	Professional		$53.95	$104.99	$249.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $129.04 / $159.13	Professional		$107.27	$129.04	$159.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $114.70 / $262.81	Facility		$56.84	$114.70	$262.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $218.00 / $294.00	Professional		$183.00	$218.00	$294.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.08 / $70.55 / $117.15	Facility		$50.08	$70.55	$117.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $206.12 / $325.72	Professional		$117.43	$206.12	$325.72
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,224.00 / $2,364.00	Facility		$296.00	$1,224.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $203.20 / $314.93	Professional		$113.18	$203.20	$314.93