Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $69.18 / $117.49	Facility		$22.91	$69.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $125.89	Facility		$30.90	$30.90	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $21.88	Professional		$12.59	$12.59	$21.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $93.33 / $141.25	Professional		$26.92	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $141.25	Facility		$34.67	$60.26	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $45.71	Professional		$13.49	$19.05	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $43.65	Professional		$30.90	$37.15	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $57.54	Facility		$26.30	$38.02	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $66.07	Professional		$20.42	$20.42	$66.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $10,000.00	Facility		$23.44	$36.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $10,000.00	Professional		$22.39	$37.15	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.90 / $37.15	Facility		$16.98	$30.90	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.49 / $33.88	Professional		$11.75	$15.49	$33.88