Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $37.24 / $73.84	Professional		$29.79	$37.24	$73.84
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $202.80 / $213.20 / $223.60	Professional	22	$202.80	$213.20	$223.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.90 / $17.66 / $26.17	Professional	52	$14.90	$17.66	$26.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $36.94 / $47.98	Professional		$29.90	$36.94	$47.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $36.32 / $44.69	Professional		$36.32	$36.32	$44.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $36.19 / $57.25	Facility		$36.19	$36.19	$57.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	52	$41.10	$41.10	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $40.79 / $80.40	Professional		$29.80	$40.79	$80.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $36.63 / $47.27	Professional		$31.40	$36.63	$47.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $40.21 / $63.92	Facility		$30.40	$40.21	$63.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $52.00 / $74.40	Professional		$47.00	$52.00	$74.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $40.11 / $62.02	Facility		$30.46	$40.11	$62.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $44.10 / $72.00	Professional		$35.29	$44.10	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $36.40 / $58.29	Professional		$25.17	$36.40	$58.29