Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $74.13 / $194.98	Facility		$28.84	$74.13	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $45.71	Professional		$25.70	$28.84	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $154.88	Facility		$38.90	$38.90	$154.88
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 $75.86 / $120.23 / $177.83	Professional		$75.86	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $74.13 / $177.83	Facility		$39.81	$74.13	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $44.67	Professional		$16.98	$19.95	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $57.54	Professional		$38.90	$46.77	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $50.12	Professional		$20.89	$42.66	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $33.11	Facility		$21.88	$28.18	$33.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $67.61 / $81.28	Professional		$21.88	$67.61	$81.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $10,000.00	Facility		$23.99	$46.77	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $10,000.00	Professional		$23.99	$46.77	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $38.90 / $46.77	Facility		$16.60	$38.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $26.92	Professional		$12.02	$17.78	$26.92