Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $108.99 / $171.05	Facility		$27.85	$108.99	$171.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.22 / $29.17	Professional		$20.00	$26.22	$29.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $32.77 / $159.59	Facility		$32.77	$32.77	$159.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $19.82	Professional		$13.11	$13.11	$19.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $106.17 / $158.93	Professional		$69.47	$106.17	$158.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $61.18 / $167.72	Facility		$21.54	$61.18	$167.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $19.89 / $48.76	Professional		$14.93	$19.89	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $40.96 / $48.50	Professional		$39.32	$40.96	$48.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $23.87 / $33.96	Facility		$23.87	$23.87	$33.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $32.24 / $68.81	Professional		$21.30	$32.24	$68.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $38.10 / $4,071.00	Facility		$22.94	$38.10	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $38.10 / $4,071.00	Professional		$22.94	$38.10	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.39 / $32.77	Professional		$13.76	$16.39	$32.77