Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $147.91 / $398.11	Facility		$50.12	$147.91	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $75.86	Professional		$48.98	$52.48	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $269.15	Facility		$66.07	$66.07	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Professional		$33.11	$33.11	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $467.74	Professional		$199.53	$316.23	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $173.78 / $302.00	Facility		$67.61	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $75.86	Professional		$37.15	$47.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $97.72	Professional		$66.07	$79.43	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $131.83	Professional		$54.95	$112.20	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $72.44	Facility		$56.23	$72.44	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $141.25	Professional		$56.23	$89.13	$141.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $10,000.00	Facility		$51.29	$93.33	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $10,000.00	Professional		$51.29	$93.33	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $66.07 / $79.43	Facility		$28.18	$66.07	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $69.18	Professional		$28.18	$39.81	$69.18