Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $2,840.00 / $8,294.00	Facility		$57.79	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $69.84 / $95.56	Professional		$47.53	$69.84	$95.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $56.20 / $92.91	Professional		$44.62	$56.20	$92.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $60.22 / $794.00	Professional		$54.32	$60.22	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $640.00	Facility		$82.87	$82.87	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $85.49 / $136.19	Professional		$52.37	$85.49	$136.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $84.14 / $99.44	Professional		$67.20	$84.14	$99.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.81 / $86.33 / $132.08	Facility		$56.81	$86.33	$132.08
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $141.72 / $172.67 / $313.33	Facility	50	$141.72	$172.67	$313.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $112.34 / $169.08	Professional		$99.29	$112.34	$169.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $71.27 / $370.00	Facility		$50.80	$71.27	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $108.27 / $370.00	Professional		$75.58	$108.27	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $94.43 / $147.82	Professional		$57.37	$94.43	$147.82