Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.45 / $58.25 / $119.82	Facility		$28.45	$58.25	$119.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $28.45 / $29.42	Professional		$25.10	$28.45	$29.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $164.51	Facility		$33.47	$33.47	$164.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $22.85	Professional		$14.22	$14.22	$22.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $52.22 / $154.31	Professional		$26.78	$52.22	$154.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $72.73 / $151.41	Facility		$39.17	$72.73	$151.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $20.70 / $55.37	Professional		$16.61	$20.70	$55.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $40.15 / $53.32	Professional		$33.47	$40.15	$53.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $46.68 / $93.05	Facility		$32.13	$46.68	$93.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $51.00 / $79.39	Professional		$34.86	$51.00	$79.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $38.92 / $4,071.00	Facility		$27.45	$38.92	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $39.14 / $7,420.00	Professional		$26.20	$39.14	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $30.46 / $57.87	Professional		$20.07	$30.46	$57.87