Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Facility		$39.00	$39.00	$39.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $39.00 / $49.54	Professional		$31.54	$39.00	$49.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $64.83	Facility		$64.83	$64.83	$64.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $50.63 / $50.63	Professional		$50.63	$50.63	$50.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $43.09	Professional		$42.28	$42.28	$43.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Facility		$43.15	$43.15	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $56.64	Professional		$36.68	$43.15	$56.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $53.88 / $75.43	Professional		$47.54	$53.88	$75.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $46.16 / $74.78	Facility		$32.15	$46.16	$74.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $7.64 / $55.98	Facility		$4.16	$7.64	$55.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $7.64 / $54.96	Professional		$4.16	$7.64	$54.96
United Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $34.81 / $49.41	Professional		$31.20	$34.81	$49.41