Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $174.23 / $420.78	Facility		$28.29	$174.23	$420.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $26.82 / $32.92	Professional		$15.70	$26.82	$32.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $88.34	Facility		$18.14	$18.14	$88.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $10.97	Professional		$8.96	$8.96	$10.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $82.13 / $122.95	Professional		$53.74	$82.13	$122.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $43.44 / $92.28	Facility		$12.68	$43.44	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $12.13 / $20.65	Professional		$10.29	$12.13	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $22.68 / $26.85	Professional		$21.77	$22.68	$26.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $15.81 / $21.47	Facility		$15.21	$15.81	$21.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $25.84 / $43.00	Professional		$22.33	$25.84	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $25.35 / $4,071.00	Facility		$14.11	$25.35	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $25.35 / $4,071.00	Professional		$14.11	$25.35	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.65 / $14.81	Professional		$7.62	$10.65	$14.81