Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $41.68 / $5,085.51	Facility		$19.97	$41.68	$5,085.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $20.97 / $32.71	Professional		$19.96	$20.97	$32.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $42.14 / $67.90	Facility		$19.97	$42.14	$67.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $29.04 / $43.82	Professional		$25.52	$29.04	$43.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $19.97	Facility		$18.84	$18.84	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $23.28 / $23.96	Professional		$16.97	$23.28	$23.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $31.94	Facility		$19.97	$19.97	$31.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $19.79 / $25.56	Facility		$18.64	$19.79	$25.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $19.79 / $25.56	Professional		$18.64	$19.79	$25.56
United Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $19.97 / $23.28	Professional		$19.37	$19.97	$23.28