Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $66.59 / $125.62	Facility		$26.32	$66.59	$125.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.77 / $33.14	Professional		$26.32	$28.77	$33.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $172.47	Facility		$35.09	$35.09	$172.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $27.69	Professional		$17.32	$17.32	$27.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $61.58 / $215.78	Professional		$31.58	$61.58	$215.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $77.23 / $179.50	Facility		$22.81	$77.23	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $25.92 / $69.41	Professional		$17.82	$25.92	$69.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $51.93	Professional		$35.09	$42.11	$51.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $53.02 / $66.31	Facility		$33.14	$53.02	$66.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $56.00 / $82.54	Professional		$35.00	$56.00	$82.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $44.77 / $4,071.00	Facility		$31.92	$44.77	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $44.77 / $4,071.00	Professional		$31.97	$44.77	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.14 / $54.92	Professional		$14.74	$20.14	$54.92