Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $70.05	Facility		$64.06	$64.06	$70.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $64.06 / $80.83	Professional		$57.18	$64.06	$80.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $53.44 / $71.15	Professional		$53.44	$53.44	$71.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $57.87 / $70.86	Professional		$57.87	$57.87	$70.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $82.86	Professional		$45.55	$45.55	$82.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $93.29 / $124.39	Professional		$72.56	$93.29	$124.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $68.34 / $118.38	Facility		$30.56	$68.34	$118.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $136.15 / $172.66	Professional		$74.92	$136.15	$172.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $82.02 / $142.49	Facility		$65.80	$82.02	$142.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $82.02 / $142.49	Professional		$65.80	$82.02	$142.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $51.71 / $77.90	Professional		$43.96	$51.71	$77.90