Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.72 / $3,633.00 / $8,920.00	Facility		$51.72	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $43.54 / $55.07	Professional		$38.17	$43.54	$55.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $44.80 / $67.20	Professional		$35.57	$44.80	$67.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $45.06 / $92.37	Professional		$43.21	$45.06	$92.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $490.00	Facility		$44.47	$44.47	$490.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $58.76 / $106.90	Professional		$40.54	$58.76	$106.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $45.24 / $74.23	Professional		$36.86	$45.24	$74.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $61.68 / $91.04	Facility		$43.46	$61.68	$91.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $66.00 / $88.90	Professional		$53.00	$66.00	$88.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $57.58 / $93.93	Facility		$42.62	$57.58	$93.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $57.58 / $93.93	Professional		$42.62	$57.58	$93.93
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $50.57 / $83.94	Professional		$32.61	$50.57	$83.94