Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $48.98	Facility		$30.90	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $48.98	Professional		$30.20	$37.15	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $91.20	Professional		$35.48	$46.77	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $24.55	Professional		$15.85	$23.44	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $181.97	Professional		$16.22	$19.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $53.70	Professional		$31.62	$42.66	$53.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $70.79	Facility		$30.20	$42.66	$70.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $61.66 / $125.89	Facility		$42.66	$61.66	$125.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $125.89	Professional		$42.66	$61.66	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $229.09	Facility		$31.62	$67.61	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $107.15	Professional		$38.90	$69.18	$107.15