Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $20.85 / $25.45	Facility		$20.85	$20.85	$25.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $28.15	Professional		$20.85	$20.85	$28.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $23.72	Professional		$17.89	$17.89	$23.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.43 / $25.74	Professional		$21.43	$21.43	$25.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $19.95	Facility		$19.37	$19.37	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $23.46	Professional		$16.19	$16.46	$23.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $33.72 / $45.18	Professional		$28.24	$33.72	$45.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $23.08 / $40.72	Facility		$10.86	$23.08	$40.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $44.30 / $56.18	Professional		$26.00	$44.30	$56.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $26.68 / $48.90	Facility		$22.24	$26.68	$48.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $26.68 / $48.90	Professional		$22.24	$26.68	$48.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $18.39 / $28.30	Professional		$15.11	$18.39	$28.30