Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $54.68 / $76.14	Professional		$38.84	$54.68	$76.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $73.65 / $73.65	Professional		$73.65	$73.65	$73.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $76.89 / $82.50	Professional		$76.89	$76.89	$82.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $80.95	Facility		$60.46	$60.46	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $80.95	Professional		$51.39	$60.46	$80.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $76.59 / $103.70	Professional		$65.36	$76.59	$103.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $54.68 / $118.70	Facility		$37.71	$54.68	$118.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Professional		$89.00	$89.00	$89.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $51.03 / $106.74	Facility		$6.20	$51.03	$106.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $40.31 / $103.41	Professional		$6.20	$40.31	$103.41
United Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $54.09 / $80.84	Professional		$45.73	$54.09	$80.84