Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $39.99 / $77.95	Facility		$19.89	$39.99	$77.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.48 / $19.89	Professional		$15.80	$17.48	$19.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $102.61	Facility		$21.07	$21.07	$102.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $12.74	Professional		$10.40	$10.40	$12.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $95.35 / $142.74	Professional		$62.39	$95.35	$142.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $54.05 / $107.34	Facility		$14.72	$54.05	$107.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.13 / $24.37	Professional		$11.94	$14.13	$24.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $26.34 / $31.18	Professional		$25.28	$26.34	$31.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $19.10 / $19.89	Facility		$17.66	$19.10	$19.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $31.86 / $50.00	Professional		$16.09	$31.86	$50.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $29.64 / $4,071.00	Facility		$16.39	$29.64	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $29.43 / $4,071.00	Professional		$16.39	$29.43	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.64 / $21.07	Professional		$8.85	$12.64	$21.07