Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $74.88	Facility		$28.69	$28.69	$74.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $26.38 / $29.00	Professional		$19.46	$26.38	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $19.39	Professional		$13.82	$13.82	$19.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $71.93 / $107.67	Professional		$47.06	$71.93	$107.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $55.03 / $125.92	Facility		$1.53	$55.03	$125.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.80 / $42.15	Professional		$10.63	$16.80	$42.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $27.38 / $45.44	Professional		$22.60	$27.38	$45.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $28.69 / $45.62	Facility		$13.71	$28.69	$45.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $33.00 / $73.90	Professional		$13.71	$33.00	$73.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $27.86 / $67.86	Facility		$18.64	$27.86	$67.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $29.19 / $69.92	Professional		$18.64	$29.19	$69.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $15.13 / $21.85	Professional		$9.15	$15.13	$21.85