Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $45.01 / $300.23	Facility		$15.35	$45.01	$300.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $16.37 / $17.39	Professional		$15.35	$16.37	$17.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $20.46 / $99.64	Facility		$20.46	$20.46	$99.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $10.59	Professional		$8.18	$8.18	$10.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $40.82 / $61.11	Professional		$26.71	$40.82	$61.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $32.19 / $92.04	Facility		$14.30	$32.19	$92.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $10.44 / $23.54	Professional		$5.95	$10.44	$23.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.58 / $30.28	Professional		$24.55	$25.58	$30.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $20.46	Facility		$14.90	$14.90	$20.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.00 / $28.16	Professional		$12.40	$17.00	$28.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $23.99 / $4,071.00	Facility		$12.69	$23.99	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $24.29 / $4,071.00	Professional		$12.69	$24.29	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $20.46 / $20.46	Facility		$11.34	$20.46	$20.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $9.21 / $17.46	Professional		$5.33	$9.21	$17.46