Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $123.36 / $338.30	Facility		$37.29	$123.36	$338.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $32.64	Professional		$19.55	$24.96	$32.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $136.07	Facility		$27.94	$27.94	$136.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.89	Professional		$13.80	$13.80	$16.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $126.49 / $189.34	Professional		$82.76	$126.49	$189.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $72.92 / $142.57	Facility		$19.52	$72.92	$142.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $18.78 / $31.80	Professional		$15.83	$18.78	$31.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $34.93 / $41.35	Professional		$33.53	$34.93	$41.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $25.33 / $27.94	Facility		$23.42	$25.33	$27.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $36.01 / $69.00	Professional		$18.66	$36.01	$69.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $40.54 / $4,071.00	Facility		$21.73	$40.54	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $39.32 / $4,071.00	Professional		$21.73	$39.32	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.64 / $27.94	Professional		$11.73	$16.64	$27.94