Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $50.05 / $50.05	Facility		$41.43	$50.05	$50.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $50.05 / $57.03	Professional		$41.15	$50.05	$57.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.21 / $101.21 / $107.49	Facility		$101.21	$101.21	$107.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $52.51 / $68.08	Professional		$52.51	$52.51	$68.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $69.19	Professional		$54.00	$54.00	$69.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $47.17 / $64.62	Professional		$47.17	$47.17	$64.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $91.09 / $121.45	Professional		$70.84	$91.09	$121.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $62.25 / $115.22	Facility		$28.11	$62.25	$115.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $126.51 / $168.60	Professional		$63.00	$126.51	$168.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $76.38 / $126.51	Facility		$58.39	$76.38	$126.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $76.38 / $126.51	Professional		$58.39	$76.38	$126.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $50.50 / $75.87	Professional		$39.54	$50.50	$75.87