Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $41.30 / $67.02	Facility		$16.32	$41.30	$67.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $18.05 / $18.50	Professional		$16.32	$18.05	$18.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $105.97	Facility		$21.76	$21.76	$105.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $50.51 / $75.61	Professional		$33.04	$50.51	$75.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $40.65 / $97.97	Facility		$15.21	$40.65	$97.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $12.50 / $24.78	Professional		$7.98	$12.50	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $27.20 / $32.20	Professional		$26.11	$27.20	$32.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $22.43	Facility		$10.88	$10.88	$22.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $19.00 / $30.00	Professional		$10.41	$19.00	$30.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $24.37 / $4,071.00	Facility		$15.23	$24.37	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $24.37 / $4,071.00	Professional		$14.14	$24.37	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.88 / $16.76	Professional		$6.75	$10.88	$16.76