Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $43.09 / $77.36	Facility		$19.38	$43.09	$77.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $17.03 / $19.38	Professional		$15.39	$17.03	$19.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $20.52 / $99.93	Facility		$20.52	$20.52	$99.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $12.41	Professional		$10.14	$10.14	$12.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $92.92 / $139.10	Professional		$60.80	$92.92	$139.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $52.54 / $105.70	Facility		$14.34	$52.54	$105.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.79 / $23.54	Professional		$11.63	$13.79	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $25.65 / $30.37	Professional		$24.62	$25.65	$30.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $18.61 / $19.38	Facility		$17.21	$18.61	$19.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $33.00 / $48.00	Professional		$28.21	$33.00	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $28.11 / $4,071.00	Facility		$15.96	$28.11	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $27.35 / $4,071.00	Professional		$15.96	$27.35	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.31 / $17.21	Professional		$8.61	$12.31	$17.21