Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $89.62 / $149.66	Facility		$24.10	$89.62	$149.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $15.34 / $29.22	Professional		$13.54	$15.34	$29.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $87.90	Facility		$18.05	$18.05	$87.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $10.92	Professional		$7.86	$7.86	$10.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $71.98 / $107.77	Professional		$47.11	$71.98	$107.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $40.54 / $84.72	Facility		$12.61	$40.54	$84.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $9.49 / $18.75	Professional		$9.21	$9.49	$18.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $22.56 / $26.71	Professional		$21.66	$22.56	$26.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $21.84	Facility		$16.39	$16.39	$21.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $21.86 / $24.05	Professional		$18.22	$21.86	$24.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $22.22 / $4,071.00	Facility		$12.64	$22.22	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $22.22 / $4,071.00	Professional		$12.64	$22.22	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $9.75 / $16.67	Professional		$7.58	$9.75	$16.67