Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $1,621.81	Facility		$25.12	$56.23	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $39.81	Professional		$21.88	$25.12	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $48.98	Professional		$23.44	$32.36	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $26.30 / $40.74	Professional		$3.55	$26.30	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $389.05	Facility		$51.29	$123.03	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $50.12	Professional		$22.39	$30.20	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $44.67	Professional		$24.55	$30.90	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $46.77	Professional		$22.39	$27.54	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $46.77	Facility		$21.88	$30.90	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.20	Professional		$12.88	$12.88	$18.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $23.44 / $42.66	Facility		$4.07	$23.44	$42.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $25.70 / $48.98	Professional		$4.68	$25.70	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $251.19 / $794.33	Facility		$223.87	$251.19	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $46.77	Professional		$19.50	$28.18	$46.77