Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $5,048.00 / $9,918.00	Facility		$55.57	$5,048.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $55.57 / $65.27	Professional		$50.61	$55.57	$65.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $58.56 / $80.31	Professional		$45.79	$58.56	$80.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $56.01 / $97.52	Professional		$50.01	$56.01	$97.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $143.34 / $165.80	Facility		$143.34	$143.34	$165.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $75.25 / $141.05	Professional		$54.47	$75.25	$141.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $60.84 / $75.04	Professional		$50.70	$60.84	$75.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $71.44 / $100.75	Facility		$53.57	$71.44	$100.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $78.48 / $117.07	Professional		$71.00	$78.48	$117.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $75.76 / $805.00	Facility		$57.95	$75.76	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $75.76 / $805.00	Professional		$57.95	$75.76	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $74.84 / $113.02	Professional		$46.44	$74.84	$113.02