Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $31.62 / $97.72	Facility		$12.30	$31.62	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $34.67	Professional		$18.62	$22.91	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $46.77 / $79.43	Facility		$23.44	$46.77	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.44 / $38.90	Professional		$22.91	$23.44	$38.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $52.48	Professional		$30.90	$34.67	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $22.91	Professional		$14.13	$22.91	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $27.54	Professional		$19.95	$23.44	$27.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.44 / $35.48	Facility		$17.38	$23.44	$35.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.44 / $34.67	Facility		$22.39	$23.44	$34.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $34.67	Professional		$22.39	$23.44	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $37.15	Facility		$18.62	$22.39	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $26.92	Professional		$20.89	$25.12	$26.92