Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $35.48 / $72.44	Facility		$12.02	$35.48	$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 $16.22 / $16.22 / $64.57	Facility		$16.22	$16.22	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $10.72	Professional		$6.46	$6.46	$10.72
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 / $30.90 / $72.44	Facility		$16.60	$30.90	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $18.62	Professional		$7.24	$9.12	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $23.99	Professional		$16.22	$19.50	$23.99
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 $11.75 / $11.75 / $19.50	Facility		$11.75	$11.75	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $33.88	Professional		$8.51	$8.51	$33.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.95 / $10,000.00	Facility		$11.75	$19.95	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.95 / $10,000.00	Professional		$11.75	$19.95	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.22 / $19.50	Facility		$6.76	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.41 / $11.48	Professional		$6.46	$7.41	$11.48