Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $50.74 / $458.50	Facility		$16.52	$50.74	$458.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $30.26 / $458.50	Professional		$16.52	$30.26	$458.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $157.16 / $587.80	Professional		$16.89	$157.16	$587.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $14.41	Professional		$12.53	$12.53	$14.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Facility		$29.12	$29.12	$29.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $89.33 / $399.39	Professional		$13.08	$89.33	$399.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.12 / $495.32 / $578.71	Professional		$430.12	$495.32	$578.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $98.00 / $472.26	Facility		$17.03	$98.00	$472.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $174.00 / $670.41	Professional		$148.00	$174.00	$670.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $23.16 / $89.09	Facility		$16.36	$23.16	$89.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $254.17 / $492.78 / $1,496.50	Professional		$254.17	$492.78	$1,496.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $263.89 / $400.30	Professional		$63.34	$263.89	$400.30