Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $47.85 / $95.04	Facility		$22.23	$47.85	$95.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $20.92 / $22.23	Professional		$18.91	$20.92	$22.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $122.77	Facility		$25.21	$25.21	$122.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $15.25	Professional		$11.62	$11.62	$15.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $71.18 / $106.55	Professional		$46.58	$71.18	$106.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $59.38 / $125.04	Facility		$17.62	$59.38	$125.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.79 / $28.91	Professional		$13.34	$15.79	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $31.51 / $37.31	Professional		$30.25	$31.51	$37.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $21.35 / $22.69	Facility		$20.17	$21.35	$22.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $32.36 / $60.00	Professional		$26.83	$32.36	$60.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $33.14 / $4,071.00	Facility		$18.39	$33.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $33.08 / $4,071.00	Professional		$18.30	$33.08	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $25.21 / $40.47	Facility		$15.69	$25.21	$40.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $13.11 / $19.32	Professional		$9.23	$13.11	$19.32