Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $72.44 / $144.54	Facility		$28.18	$72.44	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $85.11	Professional		$25.12	$57.54	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $120.23	Facility		$30.20	$30.20	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.95	Professional		$12.02	$12.02	$19.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $85.11	Professional		$35.48	$56.23	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $43.65 / $138.04	Facility		$23.99	$43.65	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $34.67	Professional		$7.94	$13.80	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $44.67	Professional		$30.20	$36.31	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $23.44	Professional		$10.00	$20.42	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.88 / $25.70	Facility		$11.75	$21.88	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $63.10	Professional		$10.00	$19.95	$63.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $10,000.00	Facility		$18.62	$35.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $10,000.00	Professional		$18.62	$35.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $30.20 / $36.31	Facility		$10.00	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $18.20	Professional		$7.08	$12.59	$18.20