Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $92.39 / $92.39	Facility		$27.37	$92.39	$92.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $49.55 / $92.39	Professional		$27.37	$49.55	$92.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $99.19	Professional		$60.00	$60.00	$99.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $175.50	Professional		$90.00	$90.00	$175.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $35.74 / $71.84	Professional		$28.59	$35.74	$71.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $76.06 / $140.71	Facility		$28.13	$76.06	$140.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $70.61 / $77.00	Professional		$41.00	$70.61	$77.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $49.30 / $109.71	Facility		$28.93	$49.30	$109.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $49.30 / $109.71	Professional		$28.93	$49.30	$109.71
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $55.30 / $87.00	Professional		$25.00	$55.30	$87.00