Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $73.20 / $118.80	Facility		$28.93	$73.20	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $30.86 / $32.78	Professional		$28.93	$30.86	$32.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $187.84	Facility		$38.57	$38.57	$187.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $15.43 / $19.97	Professional		$15.43	$15.43	$19.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $62.53 / $93.61	Professional		$40.92	$62.53	$93.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $71.91 / $197.93	Facility		$25.07	$71.91	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $19.67 / $44.19	Professional		$8.97	$19.67	$44.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $48.21 / $57.08	Professional		$46.28	$48.21	$57.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $28.09 / $34.71	Facility		$26.12	$28.09	$34.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $52.92	Professional		$19.30	$19.30	$52.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $43.20 / $4,071.00	Facility		$19.30	$43.20	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $43.20 / $4,071.00	Professional		$19.30	$43.20	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $16.97 / $23.14	Professional		$8.11	$16.97	$23.14