Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $95.50 / $288.40	Facility		$21.88	$95.50	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $26.92	Professional		$12.88	$15.49	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $70.79	Facility		$17.78	$17.78	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.80	Professional		$8.91	$8.91	$13.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $125.89	Professional		$52.48	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $41.69 / $81.28	Facility		$18.20	$41.69	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $20.42	Professional		$10.00	$12.02	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $26.30	Professional		$17.78	$21.38	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.20 / $34.67	Professional		$14.79	$30.20	$34.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.22 / $16.98	Facility		$15.14	$16.22	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $38.02	Professional		$15.85	$26.30	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.84 / $10,000.00	Facility		$15.85	$28.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.20 / $10,000.00	Professional		$15.85	$30.20	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $17.78 / $21.38	Facility		$7.59	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $18.62	Professional		$7.59	$10.72	$18.62