Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $104.71 / $213.80	Facility		$42.66	$104.71	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $51.29	Professional		$22.39	$26.92	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $141.25	Facility		$35.48	$35.48	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $30.90	Professional		$17.38	$17.38	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $165.96 / $251.19	Professional		$30.20	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $158.49	Facility		$54.95	$87.10	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $67.61	Professional		$19.05	$26.30	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $52.48	Professional		$35.48	$41.69	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $57.54 / $87.10	Facility		$29.51	$57.54	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $74.13	Professional		$28.18	$28.18	$74.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $10,000.00	Facility		$33.11	$47.86	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $10,000.00	Professional		$35.48	$47.86	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $41.69	Facility		$29.51	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $48.98	Professional		$14.79	$20.89	$48.98