Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $99.23 / $157.34	Facility		$40.15	$99.23	$157.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $35.75 / $40.15	Professional		$32.50	$35.75	$40.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $232.23	Facility		$47.25	$47.25	$232.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $31.55	Professional		$18.89	$18.89	$31.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $101.36 / $917.44	Professional		$51.98	$101.36	$917.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $103.94 / $213.76	Facility		$30.71	$103.94	$213.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $28.68 / $84.19	Professional		$23.28	$28.68	$84.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $56.70 / $69.93	Professional		$47.25	$56.70	$69.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $63.32 / $453.00	Facility		$40.15	$63.32	$453.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $66.00 / $113.40	Professional		$47.25	$66.00	$113.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $56.79 / $9,929.00	Facility		$38.75	$56.79	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $56.79 / $9,929.00	Professional		$38.75	$56.79	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $47.25 / $70.88	Facility		$42.53	$47.25	$70.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $26.93 / $64.31	Professional		$19.85	$26.93	$64.31