Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $64.44 / $8,920.00	Facility		$17.00	$64.44	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.03 / $22.22	Professional		$13.50	$16.03	$22.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $87.66	Facility		$18.00	$18.00	$87.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $10.89	Professional		$8.89	$8.89	$10.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $81.48 / $121.98	Professional		$53.32	$81.48	$121.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $45.45 / $92.28	Facility		$12.58	$45.45	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.13 / $20.65	Professional		$10.19	$12.13	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $22.50 / $26.64	Professional		$21.60	$22.50	$26.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $16.30 / $17.00	Facility		$15.09	$16.30	$17.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $27.21 / $43.00	Professional		$20.55	$27.21	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $24.65 / $4,071.00	Facility		$14.00	$24.65	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $23.99 / $4,071.00	Professional		$14.00	$23.99	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $9.00 / $11.70	Facility		$6.30	$9.00	$11.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.80 / $35.96	Professional		$7.56	$10.80	$35.96