Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $64.57 / $169.82	Facility		$25.12	$64.57	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $38.90	Professional		$25.12	$28.18	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $138.04	Facility		$33.88	$33.88	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $26.30	Professional		$15.49	$15.49	$26.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $223.87	Professional		$95.50	$151.36	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $154.88	Facility		$34.67	$77.62	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $38.90	Professional		$17.78	$22.91	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $50.12	Professional		$33.88	$40.74	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Professional		$52.48	$52.48	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $29.51	Facility		$26.92	$28.84	$29.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $72.44	Professional		$25.12	$26.92	$72.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $10,000.00	Facility		$25.12	$45.71	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $10,000.00	Professional		$25.12	$45.71	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.88 / $40.74	Facility		$14.45	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $33.11	Professional		$14.45	$19.50	$33.11