Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $120.75 / $230.33	Facility		$26.67	$120.75	$230.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.37 / $22.07	Professional		$13.61	$16.37	$22.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $89.56	Facility		$18.39	$18.39	$89.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $11.12	Professional		$9.08	$9.08	$11.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $83.27 / $124.65	Professional		$54.48	$83.27	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $48.40 / $93.92	Facility		$12.85	$48.40	$93.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.14 / $27.20	Professional		$10.42	$14.14	$27.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.99 / $27.22	Professional		$22.07	$22.99	$27.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $16.03 / $17.37	Facility		$15.27	$16.03	$17.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $27.82 / $44.00	Professional		$25.29	$27.82	$44.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $25.19 / $93.92	Facility		$13.84	$25.19	$93.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $25.26 / $4,071.00	Professional		$14.31	$25.26	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Facility		$7.72	$7.72	$7.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.79 / $15.42	Professional		$7.72	$10.79	$15.42