Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $89.97 / $224.67	Facility		$34.47	$89.97	$224.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $31.63 / $39.64	Professional		$30.41	$31.63	$39.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $199.30	Facility		$40.54	$40.54	$199.30
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 $32.44 / $63.26 / $215.78	Professional		$32.44	$63.26	$215.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $83.80 / $202.34	Facility		$26.36	$83.80	$202.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $27.31 / $71.98	Professional		$20.07	$27.31	$71.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $48.66 / $60.01	Professional		$40.54	$48.66	$60.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $55.15 / $72.87	Facility		$33.76	$55.15	$72.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $56.00 / $95.90	Professional		$41.00	$56.00	$95.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $46.63 / $4,071.00	Facility		$33.44	$46.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $46.63 / $4,071.00	Professional		$33.44	$46.63	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.28 / $47.76	Professional		$17.03	$20.28	$47.76