Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $42.42 / $76.15	Facility		$19.07	$42.42	$76.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $16.77 / $19.07	Professional		$15.15	$16.77	$19.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $98.37	Facility		$20.20	$20.20	$98.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $12.22	Professional		$9.98	$9.98	$12.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $91.43 / $136.87	Professional		$59.83	$91.43	$136.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $48.75 / $104.01	Facility		$14.12	$48.75	$104.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $13.63 / $23.13	Professional		$11.45	$13.63	$23.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $25.25 / $29.90	Professional		$24.24	$25.25	$29.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $21.86 / $32.65	Facility		$16.93	$21.86	$32.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.00 / $48.00	Professional		$22.39	$30.00	$48.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $27.92 / $4,071.00	Facility		$15.72	$27.92	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $27.74 / $4,071.00	Professional		$15.72	$27.74	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.12 / $16.57	Professional		$8.48	$12.12	$16.57