Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $28.20 / $53.20	Facility		$12.63	$28.20	$53.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $12.63 / $12.63	Professional		$11.15	$12.63	$12.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $72.37 / $91.39	Facility		$56.44	$72.37	$91.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $9.65	Professional		$6.61	$6.61	$9.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $23.19	Professional		$11.89	$11.89	$23.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $27.77 / $75.48	Facility		$9.66	$27.77	$75.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $17.95 / $21.50	Professional		$17.95	$17.95	$21.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.82 / $21.99	Professional		$14.86	$17.82	$21.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $14.86 / $23.11	Facility		$11.82	$14.86	$23.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $29.42 / $35.65	Professional		$18.00	$29.42	$35.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $14.86 / $59.39	Facility		$10.40	$14.86	$59.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $14.86 / $28.09	Professional		$10.40	$14.86	$28.09
United Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Facility		$6.24	$6.24	$6.24
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.73 / $17.09	Professional		$6.24	$7.73	$17.09