Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $99.52 / $238.68	Facility		$29.83	$99.52	$238.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $19.47 / $22.34	Professional		$17.43	$19.47	$22.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $108.80	Facility		$15.42	$15.42	$108.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $13.51	Professional		$11.04	$11.04	$13.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $101.12 / $151.37	Professional		$66.17	$101.12	$151.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $58.94 / $114.05	Facility		$15.61	$58.94	$114.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $21.41 / $28.59	Professional		$0.45	$21.41	$28.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $27.93 / $33.06	Professional		$26.81	$27.93	$33.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $21.41 / $23.14	Facility		$21.11	$21.41	$23.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $31.00 / $54.00	Professional		$14.48	$31.00	$54.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $25.85 / $264.50	Facility		$14.88	$25.85	$264.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $26.52 / $318.47	Professional		$15.28	$26.52	$318.47
United Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $9.38 / $9.38	Facility		$9.38	$9.38	$9.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.20 / $18.73	Professional		$9.38	$13.20	$18.73