Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $192.35 / $399.60	Facility		$26.02	$192.35	$399.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.52 / $19.52	Professional		$18.59	$19.52	$19.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $39.22 / $63.21	Facility		$18.59	$39.22	$63.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $29.63 / $44.72	Professional		$26.04	$29.63	$44.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $18.59	Facility		$17.54	$17.54	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $22.31 / $34.83	Professional		$15.80	$22.31	$34.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $18.59 / $35.11	Facility		$0.40	$18.59	$35.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $22.49 / $32.40	Facility		$17.66	$22.49	$32.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $22.49 / $32.40	Professional		$17.66	$22.49	$32.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.59 / $23.33	Professional		$18.29	$18.59	$23.33