Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $24.16 / $47.99	Facility		$11.32	$24.16	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.32 / $12.22	Professional		$9.55	$11.32	$12.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $62.00	Facility		$12.73	$12.73	$62.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $7.70	Professional		$5.92	$5.92	$7.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $49.86 / $74.64	Professional		$32.63	$49.86	$74.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $31.87 / $63.88	Facility		$8.90	$31.87	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $7.99 / $14.46	Professional		$6.79	$7.99	$14.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.91 / $18.84	Professional		$15.28	$15.91	$18.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $20.95	Facility		$6.75	$6.75	$20.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $21.00 / $34.32	Professional		$15.74	$21.00	$34.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $16.88 / $4,071.00	Facility		$9.32	$16.88	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $16.61 / $4,071.00	Professional		$9.32	$16.61	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $5.35 / $5.35	Facility		$5.35	$5.35	$5.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $7.09 / $12.73	Professional		$5.35	$7.09	$12.73