Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $158.87 / $467.83	Facility		$36.36	$158.87	$467.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $33.47 / $36.36	Professional		$28.46	$33.47	$36.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $187.50	Facility		$38.50	$38.50	$187.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $19.01 / $23.29	Professional		$19.01	$19.01	$23.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $174.25 / $260.83	Professional		$114.01	$174.25	$260.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $101.63 / $197.93	Facility		$26.90	$101.63	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $25.93 / $44.19	Professional		$21.82	$25.93	$44.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $48.13 / $56.98	Professional		$46.20	$48.13	$56.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $33.56 / $36.36	Facility		$32.27	$33.56	$36.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $62.00 / $94.00	Professional		$52.92	$62.00	$94.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $55.85 / $4,071.00	Facility		$29.95	$55.85	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $54.18 / $4,071.00	Professional		$29.95	$54.18	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.10 / $38.50	Professional		$16.17	$23.10	$38.50