Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $25.94 / $189.00	Facility		$15.03	$25.94	$189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $16.43 / $29.24	Professional		$15.02	$16.43	$29.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $31.82	Professional		$23.74	$23.74	$31.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $13.84 / $13.84	Professional		$13.84	$13.84	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $9.92	Professional		$9.92	$9.92	$9.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $28.44 / $38.90	Professional		$20.66	$28.44	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $24.31 / $54.55	Facility		$15.03	$24.31	$54.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $37.00 / $56.98	Professional		$16.03	$37.00	$56.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $42.19 / $80.51	Facility		$21.29	$42.19	$80.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $42.05 / $80.29	Professional		$21.29	$42.05	$80.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $12.13 / $19.23	Professional		$10.54	$12.13	$19.23