Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $53.79 / $106.96	Facility		$49.28	$53.79	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $51.74 / $54.74	Professional		$49.28	$51.74	$54.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $61.22 / $92.38	Professional		$53.80	$61.22	$92.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $49.28	Facility		$46.49	$46.49	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $58.96 / $59.14	Professional		$41.89	$58.96	$59.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $49.28 / $51.59	Facility		$7.51	$49.28	$51.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Professional		$9.00	$9.00	$9.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $49.28 / $63.08	Facility		$46.82	$49.28	$63.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $49.28 / $63.08	Professional		$46.82	$49.28	$63.08
United Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $49.28 / $58.96	Professional		$48.48	$49.28	$58.96