Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $151.36 / $263.03	Facility		$51.29	$151.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $77.62	Professional		$40.74	$54.95	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $275.42	Facility		$69.18	$69.18	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $47.86	Professional		$27.54	$27.54	$47.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $218.78 / $323.59	Professional		$56.23	$218.78	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $309.03	Facility		$69.18	$162.18	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $100.00	Professional		$30.20	$41.69	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $95.50	Professional		$69.18	$75.86	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $380.19	Facility		$54.95	$91.20	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $144.54 / $380.19	Professional		$44.67	$144.54	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $10,000.00	Facility		$52.48	$81.28	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $10,000.00	Professional		$52.48	$81.28	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $69.18 / $83.18	Facility		$35.48	$69.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $74.13	Professional		$25.12	$34.67	$74.13