Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Facility		$33.88	$33.88	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $85.11	Professional		$33.11	$38.90	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $74.13	Professional		$33.88	$46.77	$74.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $169.82	Professional		$34.67	$44.67	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $123.03	Facility		$58.88	$95.50	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $75.86	Professional		$35.48	$48.98	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $52.48	Professional		$33.11	$40.74	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $67.61	Professional		$51.29	$63.10	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $79.43	Facility		$35.48	$50.12	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $50.12 / $162.18	Facility		$36.31	$50.12	$162.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $162.18	Professional		$36.31	$50.12	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $51.29	Facility		$25.70	$36.31	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $74.13	Professional		$31.62	$46.77	$74.13