Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $26.75 / $1,588.68	Facility		$26.75	$26.75	$1,588.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $26.75 / $37.89	Professional		$15.05	$26.75	$37.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $29.24	Professional		$19.20	$19.20	$29.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $30.62 / $30.62	Professional		$30.62	$30.62	$30.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $25.99 / $50.71	Facility		$25.99	$25.99	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $50.63 / $69.23	Professional		$36.78	$50.63	$69.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $33.04 / $54.74	Facility		$26.61	$33.04	$54.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $67.00 / $101.42	Professional		$28.53	$67.00	$101.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $38.70 / $78.34	Facility		$30.96	$38.70	$78.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $38.86 / $79.05	Professional		$30.96	$38.86	$79.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Professional		$15.00	$15.00	$18.75