Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $148.74 / $274.88	Facility		$25.64	$148.74	$274.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.19 / $49.69	Professional		$21.60	$28.19	$49.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.71 / $120.71 / $157.91	Facility		$95.71	$120.71	$157.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $35.47 / $51.85	Professional		$25.95	$35.47	$51.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $82.57	Professional		$36.97	$36.97	$82.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $88.09 / $500.00	Facility		$59.07	$88.09	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $36.33 / $64.76	Professional		$24.50	$36.33	$64.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.24 / $44.41	Professional		$30.20	$36.24	$44.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $40.81 / $57.73	Facility		$26.19	$40.81	$57.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $30.00 / $52.00	Professional		$10.19	$30.00	$52.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $28.89 / $52.04	Facility		$9.83	$28.89	$52.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $34.38 / $62.36	Professional		$10.77	$34.38	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $36.47 / $58.25	Professional		$24.01	$36.47	$58.25