Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $48.68	Facility		$48.16	$48.16	$48.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $48.16 / $52.85	Professional		$44.78	$48.16	$52.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.32 / $91.32 / $96.98	Facility		$91.32	$91.32	$96.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $65.66	Professional		$50.99	$50.99	$65.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $62.43	Professional		$49.00	$49.00	$62.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $59.87 / $59.87	Facility		$48.81	$59.87	$59.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $59.87	Professional		$43.71	$43.71	$59.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $82.19 / $109.58	Professional		$63.92	$82.19	$109.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $57.75 / $102.44	Facility		$27.06	$57.75	$102.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $119.95 / $152.11	Professional		$47.00	$119.95	$152.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $68.62 / $114.15	Facility		$52.68	$68.62	$114.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $68.62 / $114.15	Professional		$52.68	$68.62	$114.15
United Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $45.56 / $65.34	Professional		$41.92	$45.56	$65.34