Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $72.44 / $223.87	Facility		$28.18	$72.44	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $34.67	Professional		$21.88	$25.70	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Facility		$29.51	$29.51	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $21.88	Professional		$14.45	$14.45	$21.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $208.93	Professional		$87.10	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $134.90	Facility		$30.20	$75.86	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $33.88	Professional		$16.60	$19.95	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $43.65	Professional		$29.51	$35.48	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $57.54	Professional		$24.55	$48.98	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.92 / $28.18	Facility		$25.12	$26.92	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $61.66	Professional		$19.95	$25.12	$61.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $10,000.00	Facility		$22.91	$42.66	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $10,000.00	Professional		$22.91	$41.69	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $29.51 / $35.48	Facility		$12.30	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $30.90	Professional		$12.30	$17.78	$30.90