Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $89.13 / $218.78	Facility		$33.88	$89.13	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $52.48	Professional		$26.92	$31.62	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $144.54	Facility		$36.31	$36.31	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.18	Professional		$18.20	$18.20	$28.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $257.04	Professional		$107.15	$173.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $97.72 / $165.96	Facility		$37.15	$97.72	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $41.69	Professional		$20.42	$24.55	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $53.70	Professional		$36.31	$43.65	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $70.79	Professional		$30.20	$61.66	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $31.62 / $34.67	Facility		$30.90	$31.62	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $77.62 / $83.18	Professional		$31.62	$77.62	$83.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $10,000.00	Facility		$32.36	$58.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $10,000.00	Professional		$32.36	$60.26	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $36.31 / $43.65	Facility		$15.49	$36.31	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $38.02	Professional		$15.49	$21.88	$38.02