Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $117.49	Facility		$37.15	$44.67	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $97.72	Professional		$37.15	$47.86	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Facility		$93.33	$93.33	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $109.65	Professional		$53.70	$53.70	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $64.57	Professional		$48.98	$48.98	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $60.26	Facility		$39.81	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $60.26	Professional		$44.67	$44.67	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $131.83	Professional		$66.07	$93.33	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $93.33	Professional		$44.67	$61.66	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $128.82	Facility		$38.02	$61.66	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $117.49	Professional		$50.12	$52.48	$117.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $269.15	Facility		$53.70	$77.62	$269.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $269.15	Professional		$53.70	$77.62	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $131.83	Facility		$30.20	$43.65	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $74.13	Professional		$41.69	$45.71	$74.13