Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $57.26 / $58.62	Facility		$51.20	$57.26	$58.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $51.20 / $58.62	Professional		$42.44	$51.20	$58.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $58.12 / $76.59	Professional		$42.26	$58.12	$76.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $53.73 / $75.22	Professional		$53.73	$53.73	$75.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $67.92 / $67.92	Facility		$67.92	$67.92	$67.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $67.30 / $103.04	Professional		$47.23	$67.30	$103.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $57.87 / $78.25	Professional		$42.74	$57.87	$78.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $53.35 / $77.98	Facility		$43.52	$53.35	$77.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $99.16 / $116.86	Professional		$77.83	$99.16	$116.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $63.86 / $221.52	Facility		$47.55	$63.86	$221.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $73.11 / $253.61	Professional		$54.44	$73.11	$253.61
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $70.09 / $126.03	Professional		$44.23	$70.09	$126.03