Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $97.72	Facility		$32.36	$63.10	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $48.98	Professional		$19.95	$33.11	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $269.15	Facility		$173.78	$229.09	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $8.13	Professional		$4.57	$4.57	$8.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $38.90	Professional		$33.11	$35.48	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $223.87	Facility		$44.67	$85.11	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $60.26	Professional		$43.65	$47.86	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $38.90 / $61.66	Facility		$21.38	$38.90	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $91.20	Professional		$28.18	$28.18	$91.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $85.11	Facility		$30.20	$43.65	$85.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $85.11	Professional		$30.20	$43.65	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $43.65 / $52.48	Facility		$26.30	$43.65	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $50.12	Professional		$18.20	$21.88	$50.12