Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $55.04 / $109.44	Facility		$47.97	$55.04	$109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $52.77	Professional		$47.97	$48.45	$52.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $99.30 / $156.86	Facility		$47.97	$99.30	$156.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $64.29	Professional		$47.97	$47.97	$64.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $48.00 / $48.00	Professional		$47.98	$48.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $47.97	Facility		$45.26	$45.26	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $47.97 / $57.56	Professional		$40.77	$47.97	$57.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $50.37 / $77.44	Facility		$38.50	$50.37	$77.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $71.42 / $116.59	Professional		$52.37	$71.42	$116.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $52.25 / $71.95	Facility		$46.75	$52.25	$71.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $52.25 / $71.95	Professional		$46.75	$52.25	$71.95
United Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $79.58 / $127.81	Facility		$48.23	$79.58	$127.81
United Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.97 / $50.37	Professional		$47.20	$47.97	$50.37