Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.84 / $123.03	Facility		$22.91	$28.84	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $77.62	Professional		$22.91	$32.36	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $52.48	Professional		$23.99	$33.11	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $109.65	Professional		$23.99	$29.51	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $61.66	Professional		$25.12	$35.48	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $46.77	Professional		$19.50	$26.92	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $48.98	Facility		$23.99	$30.90	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $67.61	Facility		$24.55	$33.11	$67.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $67.61	Professional		$25.70	$33.11	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $52.48	Professional		$22.91	$31.62	$52.48