Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $41.14 / $73.84	Facility		$18.50	$41.14	$73.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $16.26 / $18.50	Professional		$14.69	$16.26	$18.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $95.40 / $120.48	Facility		$74.40	$95.40	$120.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $11.85	Professional		$9.67	$9.67	$11.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $89.88 / $134.54	Professional		$58.81	$89.88	$134.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $50.88 / $100.63	Facility		$13.69	$50.88	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.13 / $22.72	Professional		$11.10	$13.13	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $24.49 / $28.99	Professional		$23.51	$24.49	$28.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $21.19 / $29.16	Facility		$16.42	$21.19	$29.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $32.00 / $46.00	Professional		$12.08	$32.00	$46.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $26.74 / $4,071.00	Facility		$15.23	$26.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $26.74 / $4,071.00	Professional		$15.23	$26.74	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.58 / $19.59	Professional		$8.23	$11.58	$19.59