Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $4,365.16 / $14,791.08	Facility		$22.91	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $36.31	Professional		$22.91	$25.70	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $44.67	Professional		$23.44	$30.90	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $35.48	Professional		$22.39	$28.18	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $77.62	Facility		$67.61	$67.61	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $58.88	Professional		$25.70	$35.48	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $79.43	Professional		$22.91	$32.36	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $46.77	Professional		$34.67	$42.66	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $38.90 / $56.23	Facility		$24.55	$38.90	$56.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $1,659.59	Facility		$25.70	$36.31	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $1,659.59	Professional		$25.70	$36.31	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $52.48	Professional		$21.38	$33.88	$52.48