Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $74.13 / $363.08	Facility		$0.03	$74.13	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $19.05	Professional		$12.02	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $69.18	Facility		$17.38	$17.38	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $11.48	Professional		$6.92	$6.92	$11.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $87.10	Professional		$36.31	$57.54	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $33.88 / $89.13	Facility		$11.22	$33.88	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $24.55	Professional		$7.94	$9.77	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $25.70	Professional		$17.38	$20.89	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.88 / $33.88	Facility		$14.79	$33.88	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $36.31	Professional		$14.13	$14.13	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $10,000.00	Facility		$12.30	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $10,000.00	Professional		$12.30	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $17.38 / $20.89	Facility		$7.24	$17.38	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.76 / $12.88	Professional		$7.24	$7.76	$12.88