Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $37.22 / $73.93	Facility		$16.67	$37.22	$73.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $15.00 / $16.67	Professional		$14.67	$15.00	$16.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $19.61 / $95.50	Facility		$19.61	$19.61	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $11.86	Professional		$8.33	$8.33	$11.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $76.37 / $114.31	Professional		$49.97	$76.37	$114.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $40.02 / $89.07	Facility		$13.70	$40.02	$89.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $11.93 / $22.72	Professional		$9.97	$11.93	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $24.51 / $29.02	Professional		$23.53	$24.51	$29.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $15.29 / $16.67	Facility		$14.48	$15.29	$16.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $25.50 / $41.00	Professional		$13.54	$25.50	$41.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $25.50 / $4,071.00	Facility		$14.32	$25.50	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $25.04 / $4,071.00	Professional		$13.73	$25.04	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $10.34 / $14.14	Professional		$8.24	$10.34	$14.14