Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $3,226.00 / $8,294.00	Facility		$54.24	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $60.24 / $74.75	Professional		$48.20	$60.24	$74.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $60.22 / $89.23	Professional		$47.74	$60.22	$89.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $55.01 / $676.00	Professional		$55.01	$55.01	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $75.09 / $143.75	Professional		$50.26	$75.09	$143.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $66.31 / $80.81	Professional		$53.69	$66.31	$80.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $79.59 / $144.27	Facility		$54.24	$79.59	$144.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $89.00 / $120.14	Professional		$76.00	$89.00	$120.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $77.00 / $145.13	Facility		$52.27	$77.00	$145.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $89.33 / $545.01	Professional		$63.34	$89.33	$545.01
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $83.05 / $140.80	Professional		$51.50	$83.05	$140.80