Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $63.10 / $151.36	Facility		$28.18	$63.10	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $54.95	Professional		$21.88	$26.92	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $134.90	Facility		$33.11	$33.11	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.12	Professional		$14.13	$14.13	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $117.49 / $177.83	Professional		$28.84	$117.49	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $151.36	Facility		$43.65	$66.07	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $53.70	Professional		$16.60	$20.89	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $48.98	Professional		$33.11	$39.81	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $87.10	Facility		$28.18	$45.71	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $70.79	Professional		$21.88	$21.88	$70.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $10,000.00	Facility		$28.18	$39.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $10,000.00	Professional		$26.30	$39.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.11 / $39.81	Facility		$14.13	$33.11	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $61.66	Professional		$19.95	$32.36	$61.66