Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $76.70 / $127.71	Facility		$31.05	$76.70	$127.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $31.05 / $31.05	Professional		$27.40	$31.05	$31.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $177.90	Facility		$36.53	$36.53	$177.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $22.10	Professional		$14.61	$14.61	$22.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $122.86 / $183.91	Professional		$80.39	$122.86	$183.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $77.59 / $166.26	Facility		$25.52	$77.59	$166.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $21.92 / $42.13	Professional		$16.64	$21.92	$42.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $45.66 / $54.06	Professional		$43.84	$45.66	$54.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $29.22 / $44.20	Facility		$18.28	$29.22	$44.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $36.79 / $43.00	Professional		$23.74	$36.79	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $43.37 / $4,071.00	Facility		$26.67	$43.37	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $43.37 / $4,071.00	Professional		$26.67	$43.37	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $18.27 / $28.76	Professional		$15.34	$18.27	$28.76