Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $66.64 / $174.32	Facility		$15.20	$66.64	$174.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $9.92 / $10.75	Professional		$8.53	$9.92	$10.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $55.47	Facility		$11.39	$11.39	$55.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.89	Professional		$5.62	$5.62	$6.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $47.17 / $70.62	Professional		$30.87	$47.17	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $28.62 / $58.69	Facility		$7.96	$28.62	$58.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.65 / $13.22	Professional		$6.45	$7.65	$13.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $14.24 / $16.86	Professional		$13.67	$14.24	$16.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.93 / $10.75	Facility		$9.55	$9.93	$10.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $17.22 / $29.00	Professional		$9.97	$17.22	$29.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.01 / $4,071.00	Facility		$8.86	$16.01	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $16.01 / $4,071.00	Professional		$8.86	$16.01	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $6.45 / $11.39	Professional		$4.78	$6.45	$11.39