Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $48.49 / $96.32	Facility		$23.61	$48.49	$96.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $21.21 / $23.61	Professional		$19.16	$21.21	$23.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $124.43	Facility		$25.55	$25.55	$124.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $15.45	Professional		$12.35	$12.35	$15.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $113.21 / $169.46	Professional		$74.06	$113.21	$169.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $65.13 / $130.85	Facility		$17.85	$65.13	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $16.79 / $29.32	Professional		$14.17	$16.79	$29.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $31.94 / $37.81	Professional		$30.66	$31.94	$37.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $22.67 / $23.61	Facility		$20.96	$22.67	$23.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $41.00 / $63.00	Professional		$34.36	$41.00	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $34.88 / $4,071.00	Facility		$19.45	$34.88	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $34.06 / $4,071.00	Professional		$19.45	$34.06	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.07 / $25.55	Professional		$10.73	$15.07	$25.55