Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $80.05 / $391.14	Facility		$27.49	$80.05	$391.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $27.49 / $28.08	Professional		$22.40	$27.49	$28.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Professional		$13.39	$13.39	$13.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $36.22 / $54.22	Professional		$23.70	$36.22	$54.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $52.65 / $135.09	Facility		$1.52	$52.65	$135.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $18.72 / $29.81	Professional		$9.51	$18.72	$29.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $32.03 / $32.77	Professional		$31.46	$32.03	$32.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $15.14 / $27.49	Facility		$13.07	$15.14	$27.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $20.63 / $27.87	Professional		$13.07	$20.63	$27.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $38.63 / $4,071.00	Facility		$18.39	$38.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.39 / $4,071.00	Professional		$19.05	$39.39	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $152.32 / $152.32	Facility		$12.05	$152.32	$152.32
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.65 / $19.53	Professional		$10.19	$14.65	$19.53