Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $24.06 / $24.06	Facility		$19.92	$24.06	$24.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $24.06 / $26.17	Professional		$19.92	$24.06	$26.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $48.66 / $51.68	Facility		$48.66	$48.66	$51.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $34.22	Professional		$26.20	$26.20	$34.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $33.26	Professional		$26.00	$26.00	$33.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $29.64	Professional		$21.64	$21.64	$29.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $43.79 / $58.39	Professional		$34.06	$43.79	$58.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $29.92 / $55.96	Facility		$14.41	$29.92	$55.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $60.83 / $81.06	Professional		$28.00	$60.83	$81.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $36.72 / $60.93	Facility		$28.07	$36.72	$60.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $36.72 / $60.93	Professional		$28.07	$36.72	$60.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $24.28 / $36.56	Professional		$20.27	$24.28	$36.56