Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $123.03 / $338.84	Facility		$40.74	$123.03	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $64.57	Professional		$40.74	$43.65	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $223.87	Facility		$56.23	$56.23	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $42.66	Professional		$27.54	$27.54	$42.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $389.05	Professional		$165.96	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $251.19	Facility		$57.54	$144.54	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $64.57	Professional		$25.70	$33.88	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $83.18	Professional		$56.23	$67.61	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $109.65	Professional		$46.77	$93.33	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $52.48	Facility		$40.74	$40.74	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $117.49	Professional		$32.36	$46.77	$117.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $10,000.00	Facility		$43.65	$77.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $10,000.00	Professional		$43.65	$77.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $67.61	Facility		$28.18	$56.23	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $58.88	Professional		$23.44	$33.88	$58.88