Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $95.68 / $190.05	Facility		$47.61	$95.68	$190.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $41.84 / $54.54	Professional		$37.81	$41.84	$54.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $50.41 / $245.50	Facility		$50.41	$50.41	$245.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $30.49	Professional		$24.90	$24.90	$30.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $228.13 / $341.49	Professional		$149.27	$228.13	$341.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $133.10 / $258.31	Facility		$35.22	$133.10	$258.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $34.57 / $57.82	Professional		$28.57	$34.57	$57.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $63.01 / $74.61	Professional		$60.49	$63.01	$74.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $54.55 / $54.55	Facility		$40.33	$54.55	$54.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $67.20 / $89.00	Professional		$43.80	$67.20	$89.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $68.81 / $4,071.00	Facility		$36.79	$68.81	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $67.20 / $4,071.00	Professional		$36.79	$67.20	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $29.74 / $42.25	Professional		$21.17	$29.74	$42.25