Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $114.82 / $478.63	Facility		$25.12	$114.82	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $42.66 / $69.18	Professional		$19.05	$42.66	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $102.33	Facility		$25.70	$25.70	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $19.50	Professional		$12.59	$12.59	$19.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $177.83	Professional		$75.86	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $53.70 / $114.82	Facility		$25.70	$53.70	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $29.51	Professional		$14.45	$16.98	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $38.02	Professional		$25.70	$30.20	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $42.66 / $50.12	Professional		$9.55	$42.66	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $26.30	Facility		$21.88	$22.91	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $53.70	Professional		$26.30	$29.51	$53.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $10,000.00	Facility		$21.38	$34.67	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $10,000.00	Professional		$19.95	$34.67	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $25.70 / $30.20	Facility		$10.72	$25.70	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $26.92	Professional		$10.72	$14.79	$26.92