Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $34.22 / $67.72	Facility		$31.35	$34.22	$67.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $31.35 / $31.72	Professional		$29.50	$31.35	$31.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $67.42 / $106.50	Facility		$32.57	$67.42	$106.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $41.52	Professional		$30.73	$30.73	$41.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Professional		$32.57	$32.57	$32.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $85.00	Facility		$31.35	$31.35	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $15.52 / $26.95	Professional		$12.41	$15.52	$26.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $31.35 / $52.98	Facility		$15.84	$31.35	$52.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $40.00 / $61.00	Professional		$18.00	$40.00	$61.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.84 / $127.84 / $127.84	Facility		$127.84	$127.84	$127.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $127.84 / $127.84	Professional		$127.84	$127.84	$127.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $32.57 / $36.26	Professional		$30.73	$32.57	$36.26