Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $14.29 / $112.93	Facility		$4.38	$14.29	$112.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $4.01 / $4.38	Professional		$3.48	$4.01	$4.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $22.60	Facility		$4.63	$4.63	$22.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.80	Professional		$2.29	$2.29	$2.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $21.00 / $31.43	Professional		$13.74	$21.00	$31.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $12.26 / $23.51	Facility		$3.24	$12.26	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.57 / $6.71	Professional		$2.63	$3.57	$6.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.80 / $6.87	Professional		$5.57	$5.80	$6.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.05 / $4.38	Facility		$3.89	$4.05	$4.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.00 / $10.00	Professional		$6.37	$8.00	$10.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $6.37 / $4,071.00	Facility		$3.61	$6.37	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $6.33 / $4,071.00	Professional		$3.61	$6.33	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.74 / $4.63	Professional		$1.95	$2.74	$4.63