Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $34.70 / $79.36	Facility		$17.26	$34.70	$79.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.71 / $17.26	Professional		$13.71	$15.71	$17.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $89.02	Facility		$18.28	$18.28	$89.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $11.05	Professional		$9.02	$9.02	$11.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $78.73 / $117.86	Professional		$51.52	$78.73	$117.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $46.97 / $93.92	Facility		$12.77	$46.97	$93.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $12.30 / $21.06	Professional		$10.36	$12.30	$21.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $22.85 / $27.05	Professional		$21.94	$22.85	$27.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.95 / $17.26	Facility		$15.32	$15.95	$17.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.00 / $44.00	Professional		$19.05	$26.00	$44.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $24.30 / $4,071.00	Facility		$14.22	$24.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $24.30 / $4,071.00	Professional		$14.22	$24.30	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.66 / $18.23	Professional		$7.68	$10.66	$18.23