Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $31.16 / $79.63	Facility		$30.51	$31.16	$79.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $28.35 / $31.16	Professional		$20.93	$28.35	$31.16
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 $14.83 / $14.83 / $19.87	Professional		$14.83	$14.83	$19.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $99.70	Professional		$15.08	$15.08	$99.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $59.41 / $135.30	Facility		$1.65	$59.41	$135.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $18.05 / $45.29	Professional		$10.33	$18.05	$45.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $29.30 / $48.64	Professional		$24.19	$29.30	$48.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $30.51 / $48.51	Facility		$13.07	$30.51	$48.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $44.00 / $79.39	Professional		$31.34	$44.00	$79.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $29.44 / $72.16	Facility		$19.50	$29.44	$72.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $30.54 / $73.58	Professional		$20.10	$30.54	$73.58
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $16.25 / $21.87	Professional		$10.33	$16.25	$21.87