Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $54.75 / $55.33	Facility		$54.75	$54.75	$55.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $54.75 / $55.33	Professional		$44.46	$54.75	$55.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $103.80 / $110.24	Facility		$103.80	$103.80	$110.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $50.93 / $63.66	Professional		$50.93	$50.93	$63.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $50.36	Professional		$36.76	$36.76	$50.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $93.42 / $124.56	Professional		$72.66	$93.42	$124.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $63.84 / $118.17	Facility		$25.07	$63.84	$118.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $136.34 / $172.90	Professional		$48.00	$136.34	$172.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $78.56 / $129.99	Facility		$59.88	$78.56	$129.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $78.56 / $129.99	Professional		$59.88	$78.56	$129.99
United Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $51.79 / $74.29	Professional		$42.52	$51.79	$74.29