Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $616.60 / $5,888.44	Facility		$22.91	$616.60	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $39.81 / $81.28	Professional		$15.85	$39.81	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $72.44	Professional		$25.12	$43.65	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $181.97 / $251.19	Professional		$20.42	$181.97	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $85.11	Professional		$14.79	$33.11	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $67.61	Professional		$43.65	$56.23	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $32.36 / $74.13	Facility		$13.18	$32.36	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.90 / $4,073.80	Facility		$12.02	$38.90	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $63.10 / $4,073.80	Professional		$26.30	$63.10	$4,073.80
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 / $39.81 / $81.28	Professional		$21.38	$39.81	$81.28