Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $5,128.61	Facility		$19.95	$34.67	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $23.99	Professional		$19.95	$19.95	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $69.18	Facility		$20.42	$40.74	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $34.67	Professional		$20.42	$20.42	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $46.77	Professional		$26.92	$30.90	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $24.55	Professional		$17.38	$20.42	$24.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $33.11	Facility		$20.42	$20.42	$33.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.95 / $30.20	Facility		$19.50	$19.95	$30.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $30.20	Professional		$19.50	$19.95	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $31.62	Facility		$19.50	$20.42	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $23.99	Professional		$19.95	$20.42	$23.99