Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $32.36 / $107.15	Facility		$12.02	$32.36	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $17.78	Professional		$10.00	$10.23	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Facility		$13.49	$13.49	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $10.47	Professional		$6.61	$6.61	$10.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $74.13	Professional		$31.62	$53.70	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $32.36 / $60.26	Facility		$13.80	$32.36	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $15.85	Professional		$7.59	$9.12	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $19.95	Professional		$13.49	$16.22	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $22.91 / $26.30	Professional		$8.71	$22.91	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.30 / $15.85	Facility		$11.48	$12.30	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $32.36	Professional		$15.85	$28.18	$32.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.05 / $10,000.00	Facility		$11.22	$19.05	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $10,000.00	Professional		$11.22	$18.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $13.49 / $16.22	Facility		$5.62	$13.49	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.76 / $11.22	Professional		$5.62	$6.76	$11.22