Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $110.02 / $289.91	Facility		$21.69	$110.02	$289.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $19.37 / $20.18	Professional		$17.79	$19.37	$20.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $105.68	Facility		$21.70	$21.70	$105.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $13.12	Professional		$10.71	$10.71	$13.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $94.83 / $141.96	Professional		$62.05	$94.83	$141.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $55.41 / $110.72	Facility		$15.16	$55.41	$110.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.63 / $24.78	Professional		$12.30	$14.63	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $27.13 / $32.11	Professional		$26.04	$27.13	$32.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $19.66 / $20.49	Facility		$18.18	$19.66	$20.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $32.79 / $52.00	Professional		$27.99	$32.79	$52.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $29.69 / $4,071.00	Facility		$15.84	$29.69	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $29.27 / $4,071.00	Professional		$15.84	$29.27	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.82 / $21.70	Professional		$9.11	$12.82	$21.70