Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $41.69	Professional		$12.88	$15.85	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $7.08 / $15.49	Professional	TC	$5.75	$7.08	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.98 / $29.51	Professional		$8.91	$16.98	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $12.30 / $16.98	Professional	TC	$7.94	$12.30	$16.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.50 / $74.13	Professional		$9.33	$19.50	$74.13
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $14.45 / $18.20	Professional	TC	$11.75	$14.45	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.55 / $38.90	Professional		$14.13	$24.55	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $12.88 / $21.38	Professional	TC	$7.24	$12.88	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $26.30	Professional		$17.78	$21.38	$26.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $11.75 / $14.13	Professional	TC	$9.33	$11.75	$14.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $38.02	Professional		$30.90	$35.48	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Professional		$25.12	$25.12	$26.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.89 / $53.70	Professional		$9.77	$20.89	$53.70
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $13.80 / $19.05	Professional	TC	$7.94	$13.80	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $38.90	Professional		$14.13	$21.38	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $11.48 / $19.95	Professional	TC	$6.61	$11.48	$19.95