Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $101.35 / $312.00	Facility		$33.14	$101.35	$312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $26.32 / $44.74	Professional		$18.60	$26.32	$44.74
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 $21.05 / $21.05 / $33.64	Professional		$21.05	$21.05	$33.64
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 $41.06 / $87.92 / $179.50	Facility		$41.06	$87.92	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $30.70 / $69.41	Professional		$21.04	$30.70	$69.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $66.67	Professional		$35.09	$42.11	$66.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $60.69 / $88.18	Facility		$33.69	$60.69	$88.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.00 / $84.22	Professional		$35.09	$61.00	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $46.04 / $158.57	Facility		$32.61	$46.04	$158.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $46.04 / $4,071.00	Professional		$32.76	$46.04	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $71.81	Facility		$35.09	$35.09	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.75 / $49.04	Professional		$21.05	$30.75	$49.04