Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $56.23 / $229.09	Facility		$19.50	$56.23	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $22.91	Professional		$12.59	$16.98	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $91.20	Facility		$22.91	$22.91	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $15.49	Professional		$9.12	$9.12	$15.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $114.82	Professional		$48.98	$77.62	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $44.67 / $117.49	Facility		$15.14	$44.67	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $11.48 / $26.30	Professional		$0.27	$11.48	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $33.88	Professional		$22.91	$27.54	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $19.50	Facility		$12.59	$12.59	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $47.86	Professional		$19.05	$19.05	$47.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $27.54 / $10,000.00	Facility		$16.22	$27.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $27.54 / $10,000.00	Professional		$16.22	$27.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $22.91 / $27.54	Facility		$9.55	$22.91	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.23 / $17.38	Professional		$9.55	$10.23	$17.38