Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $117.49 / $1,621.81	Facility		$18.20	$117.49	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $23.99	Professional		$14.13	$15.85	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $79.43	Facility		$19.95	$19.95	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $16.98	Professional		$10.00	$10.00	$16.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $93.33 / $141.25	Professional		$16.98	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $51.29 / $91.20	Facility		$20.42	$51.29	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $39.81	Professional		$10.96	$14.79	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $29.51	Professional		$19.95	$23.99	$29.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $38.90	Professional		$16.60	$33.88	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.05 / $48.98	Facility		$16.98	$19.05	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $41.69	Professional		$16.22	$23.44	$41.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $10,000.00	Facility		$17.78	$27.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $10,000.00	Professional		$17.78	$27.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.95 / $23.99	Facility		$8.51	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $28.18	Professional		$8.51	$12.02	$28.18