Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $339.82 / $501.14	Facility		$31.92	$339.82	$501.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.62 / $52.25	Professional		$12.89	$15.62	$52.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $14.49 / $16.11	Professional		$0.02	$14.49	$16.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $20.05	Professional		$14.12	$14.12	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Facility		$18.82	$18.82	$18.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $1.83 / $1.83 / $1.83	Facility	AS	$1.83	$1.83	$1.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $15.35 / $20.46	Professional		$11.08	$15.35	$20.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $13.38 / $22.04	Facility		$11.02	$13.38	$22.04
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $16.53 / $16.53 / $32.71	Facility	50	$16.53	$16.53	$32.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $2.20 / $2.20 / $4.36	Facility	80	$2.20	$2.20	$4.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $1.54 / $1.54 / $3.05	Facility	AS	$1.54	$1.54	$3.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.00 / $38.64	Professional		$21.00	$28.00	$38.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $18.67 / $65.69	Facility		$14.40	$18.67	$65.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $18.78 / $67.06	Professional		$14.24	$18.78	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $19.77 / $35.00	Professional		$12.50	$19.77	$35.00