Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $43.27 / $117.60	Facility		$18.50	$43.27	$117.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $17.76 / $22.87	Professional		$14.70	$17.76	$22.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $95.45	Facility		$19.60	$19.60	$95.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $11.85	Professional		$9.68	$9.68	$11.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $88.68 / $132.74	Professional		$58.02	$88.68	$132.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $47.77 / $100.63	Facility		$13.70	$47.77	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.13 / $22.72	Professional		$11.10	$13.13	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $24.50 / $29.01	Professional		$23.52	$24.50	$29.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $17.76 / $31.81	Facility		$16.26	$17.76	$31.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $29.62 / $36.00	Professional		$20.56	$29.62	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $25.58 / $4,071.00	Facility		$15.24	$25.58	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $25.58 / $4,071.00	Professional		$15.24	$25.58	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.50 / $16.42	Professional		$8.23	$11.50	$16.42