Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $52.13 / $65.08	Facility		$30.76	$52.13	$65.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $34.72	Professional		$29.29	$29.29	$34.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $60.63 / $95.78	Facility		$29.29	$60.63	$95.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $39.81	Professional		$29.29	$29.29	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $29.29	Professional		$28.69	$28.69	$29.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $29.29	Facility		$27.63	$27.63	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $29.29 / $37.46	Professional		$24.90	$29.29	$37.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $30.76 / $49.33	Facility		$27.45	$30.76	$49.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $40.85 / $65.90	Professional		$27.46	$40.85	$65.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $35.15 / $43.94	Facility		$29.29	$35.15	$43.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $35.15 / $43.94	Professional		$29.29	$35.15	$43.94
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $33.59	Professional		$29.29	$31.05	$33.59