Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $52.30 / $97.50	Facility		$20.04	$52.30	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $33.88	Professional		$20.04	$20.04	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.95 / $211.50 / $267.08	Facility		$164.95	$211.50	$267.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $7.33	Professional		$4.59	$4.59	$7.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $34.74 / $67.73	Professional		$34.74	$34.74	$67.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $80.73 / $223.08	Facility		$28.23	$80.73	$223.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $52.97 / $63.47	Professional		$52.97	$52.97	$63.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $52.12 / $64.28	Professional		$43.43	$52.12	$64.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $36.67 / $52.11	Facility		$21.24	$36.67	$52.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $91.20 / $104.23	Professional		$59.00	$91.20	$104.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $43.43 / $69.66	Facility		$30.40	$43.43	$69.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $43.43 / $69.66	Professional		$30.40	$43.43	$69.66
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $24.76 / $49.94	Professional		$18.23	$24.76	$49.94