Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $27.36 / $27.36	Facility		$22.65	$27.36	$27.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $27.36 / $32.39	Professional		$22.65	$27.36	$32.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.34 / $55.34 / $58.77	Facility		$55.34	$55.34	$58.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $30.80 / $39.40	Professional		$30.80	$30.80	$39.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $30.89 / $37.83	Professional		$30.89	$30.89	$37.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $75.00	Facility		$31.65	$31.65	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $31.65	Professional		$23.10	$23.10	$31.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $49.81 / $66.41	Professional		$38.74	$49.81	$66.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $34.03 / $62.08	Facility		$16.30	$34.03	$62.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $69.18 / $92.17	Professional		$33.00	$69.18	$92.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $41.76 / $70.69	Facility		$28.80	$41.76	$70.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $41.76 / $70.69	Professional		$28.80	$41.76	$70.69
United Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $25.04 / $29.25	Facility		$19.03	$25.04	$29.25
United Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $27.61 / $41.48	Professional		$22.95	$27.61	$41.48