Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $328.86 / $855.50	Facility		$37.28	$328.86	$855.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.34 / $6.69 / $22.23	Facility	52	$5.34	$6.69	$22.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $34.85 / $56.97	Professional		$10.68	$34.85	$56.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.34 / $15.77 / $22.23	Professional	52	$5.34	$15.77	$22.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $29.43 / $54.64	Professional		$11.35	$29.43	$54.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $13.53 / $25.57	Professional		$12.40	$13.53	$25.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $36.85 / $73.31	Professional		$12.86	$36.85	$73.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $43.01 / $51.20	Professional		$34.69	$43.01	$51.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $36.61 / $67.70	Facility		$11.83	$36.61	$67.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $51.35 / $73.00	Professional		$26.71	$51.35	$73.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $16.19 / $28.31	Facility		$12.18	$16.19	$28.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $52.96 / $89.62	Professional		$40.95	$52.96	$89.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.32 / $79.03	Professional		$32.34	$49.32	$79.03