Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $67.61	Professional		$43.65	$51.29	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Professional		$69.18	$69.18	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $61.66	Facility		$44.67	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $67.61	Professional		$38.02	$44.67	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $102.33	Professional		$64.57	$74.13	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $120.23	Professional		$45.71	$45.71	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $93.33	Facility		$25.12	$50.12	$93.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.88 / $77.62	Facility		$5.50	$12.88	$77.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $14.79 / $77.62	Professional		$5.50	$14.79	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $26.30 / $52.48	Facility		$3.31	$26.30	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $70.79	Professional		$33.88	$45.71	$70.79