Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $54.09 / $107.45	Facility		$24.84	$54.09	$107.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.66 / $24.84	Professional		$21.38	$23.66	$24.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $138.80	Facility		$28.50	$28.50	$138.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $17.23	Professional		$12.99	$12.99	$17.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $119.07 / $178.24	Professional		$77.91	$119.07	$178.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $64.53 / $138.91	Facility		$19.91	$64.53	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $17.62 / $32.63	Professional		$14.90	$17.62	$32.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $35.63 / $42.18	Professional		$34.20	$35.63	$42.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $30.84 / $30.84	Facility		$22.57	$30.84	$30.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $43.00 / $66.00	Professional		$36.15	$43.00	$66.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $37.39 / $4,071.00	Facility		$20.81	$37.39	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $37.19 / $4,071.00	Professional		$20.45	$37.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $16.13 / $21.69	Professional		$11.97	$16.13	$21.69