Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $120.23	Facility		$41.69	$79.43	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $46.77	Professional		$41.69	$41.69	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $144.54	Facility		$42.66	$85.11	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $72.44	Professional		$42.66	$42.66	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $97.72	Professional		$57.54	$64.57	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $42.66	Facility		$40.74	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $51.29	Professional		$36.31	$42.66	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $69.18	Facility		$42.66	$42.66	$69.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $41.69 / $63.10	Facility		$40.74	$41.69	$63.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $63.10	Professional		$40.74	$41.69	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $67.61	Facility		$41.69	$42.66	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $50.12	Professional		$41.69	$42.66	$50.12