Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $46.46 / $75.40	Facility		$20.81	$46.46	$75.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $20.32 / $20.81	Professional		$18.36	$20.32	$20.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $24.48 / $119.22	Facility		$24.48	$24.48	$119.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $14.81	Professional		$9.78	$9.78	$14.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $59.71 / $89.39	Professional		$39.07	$59.71	$89.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $45.05 / $111.33	Facility		$17.11	$45.05	$111.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $12.49 / $28.08	Professional		$8.66	$12.49	$28.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $30.60 / $36.22	Professional		$29.38	$30.60	$36.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $17.82 / $20.81	Facility		$15.62	$17.82	$20.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $18.13 / $33.00	Professional		$4.90	$18.13	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $28.47 / $4,071.00	Facility		$17.14	$28.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $29.07 / $4,071.00	Professional		$17.14	$29.07	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $11.02 / $14.69	Professional		$7.74	$11.02	$14.69