Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $38.90	Facility		$15.85	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $33.11	Professional		$14.13	$25.12	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.80 / $25.12	Professional		$7.59	$13.80	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $194.98	Professional		$33.88	$48.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $69.18	Professional		$46.77	$56.23	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.20 / $63.10	Facility		$16.60	$30.20	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $36.31 / $10,000.00	Facility		$16.60	$36.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $10,000.00	Professional		$16.60	$36.31	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.51 / $23.99	Facility		$1.58	$2.51	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $16.60 / $37.15	Professional		$2.09	$16.60	$37.15