Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $25.83 / $56.47	Facility		$12.63	$25.83	$56.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.72 / $18.17	Professional		$9.94	$13.72	$18.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $15.78 / $23.21	Professional		$11.85	$15.78	$23.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $21.50 / $2,315.00	Professional		$13.88	$21.50	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $18.95 / $35.52	Professional		$12.92	$18.95	$35.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.61 / $20.48	Professional		$13.84	$16.61	$20.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $18.17 / $30.82	Facility		$12.78	$18.17	$30.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.83 / $37.00	Professional		$19.00	$25.83	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $17.05 / $805.00	Facility		$12.87	$17.05	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $22.37 / $805.00	Professional		$16.62	$22.37	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $22.97 / $40.38	Professional		$13.61	$22.97	$40.38