Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $36.31 / $72.44	Facility		$12.02	$36.31	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $66.07	Facility		$16.60	$16.60	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $10.96	Professional		$6.61	$6.61	$10.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $77.62	Professional		$32.36	$56.23	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $31.62 / $74.13	Facility		$16.60	$31.62	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $19.05	Professional		$7.41	$9.12	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $24.55	Professional		$16.60	$19.50	$24.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $23.44	Professional		$10.00	$19.95	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $19.50	Facility		$12.02	$12.02	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $34.67	Professional		$9.12	$9.12	$34.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $10,000.00	Facility		$12.02	$19.95	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $10,000.00	Professional		$12.02	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $16.60 / $19.50	Facility		$6.92	$16.60	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.41 / $11.48	Professional		$6.46	$7.41	$11.48