Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $666.38 / $5,743.00	Facility		$23.01	$666.38	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $29.57 / $60.75	Professional		$12.04	$29.57	$60.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $40.59 / $61.85	Professional		$23.23	$40.59	$61.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $230.77	Professional		$21.48	$21.48	$230.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $39.32 / $39.32	Facility		$39.32	$39.32	$39.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $33.25 / $99.67	Professional		$14.90	$33.25	$99.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $51.91 / $61.80	Professional		$46.83	$51.91	$61.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $29.58 / $63.35	Facility		$12.60	$29.58	$63.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $41.00 / $115.00	Professional		$31.00	$41.00	$115.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $37.65 / $1,098.00	Facility		$10.31	$37.65	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $62.38 / $1,098.00	Professional		$24.51	$62.38	$1,098.00
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 $37.46 / $47.28 / $82.59	Professional		$37.46	$47.28	$82.59