Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $22.60 / $54.05	Facility		$17.43	$22.60	$54.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $27.09 / $57.37	Professional		$18.02	$27.09	$57.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $28.30 / $34.27	Professional		$21.87	$28.30	$34.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $47.64	Professional		$27.70	$27.70	$47.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Facility		$41.81	$41.81	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $33.85 / $64.00	Professional		$20.60	$33.85	$64.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $27.36 / $36.52	Professional		$22.02	$27.36	$36.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $30.56 / $53.93	Facility		$22.43	$30.56	$53.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $37.00 / $53.00	Professional		$32.00	$37.00	$53.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $40.00 / $50.99	Facility		$26.68	$40.00	$50.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $40.95 / $59.13	Professional		$27.47	$40.95	$59.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $40.00 / $54.69	Professional		$23.06	$40.00	$54.69