Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $97.68 / $205.50	Facility		$21.98	$97.68	$205.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $14.82 / $16.46	Professional		$12.35	$14.82	$16.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $80.16	Facility		$16.46	$16.46	$80.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.94	Professional		$8.13	$8.13	$9.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $74.55 / $111.60	Professional		$48.78	$74.55	$111.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $41.75 / $83.89	Facility		$11.51	$41.75	$83.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $11.14 / $19.00	Professional		$9.32	$11.14	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $20.58 / $24.36	Professional		$19.75	$20.58	$24.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $14.93 / $15.55	Facility		$13.81	$14.93	$15.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $24.90 / $40.00	Professional		$20.11	$24.90	$40.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $23.90 / $4,071.00	Facility		$12.80	$23.90	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $23.18 / $4,071.00	Professional		$12.80	$23.18	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $16.46 / $28.31	Facility		$10.97	$16.46	$28.31
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.88 / $13.51	Professional		$6.91	$9.88	$13.51