Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $181.66 / $375.70	Facility		$44.86	$181.66	$375.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.09 / $28.39	Professional		$18.07	$22.09	$28.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $125.69	Facility		$25.81	$25.81	$125.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $15.61	Professional		$12.75	$12.75	$15.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $116.90 / $174.99	Professional		$76.48	$116.90	$174.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $67.65 / $132.54	Facility		$18.04	$67.65	$132.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $19.85 / $38.50	Professional		$14.63	$19.85	$38.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $32.26 / $38.20	Professional		$30.97	$32.26	$38.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $22.51 / $24.38	Facility		$21.65	$22.51	$24.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $39.04 / $65.00	Professional		$21.72	$39.04	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $36.08 / $4,071.00	Facility		$20.07	$36.08	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $36.08 / $4,071.00	Professional		$20.07	$36.08	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.26 / $25.81	Professional		$10.84	$15.26	$25.81