Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $45.50 / $45.99	Facility		$45.50	$45.50	$45.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $45.50 / $45.99	Professional		$36.86	$45.50	$45.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $86.28 / $91.63	Facility		$86.28	$86.28	$91.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $53.69 / $67.11	Professional		$53.69	$53.69	$67.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $58.98	Professional		$46.00	$46.00	$58.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $48.73	Professional		$35.57	$35.57	$48.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $77.65 / $103.54	Professional		$60.40	$77.65	$103.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $53.24 / $99.22	Facility		$25.11	$53.24	$99.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $113.33 / $143.71	Professional		$51.00	$113.33	$143.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $65.09 / $107.85	Facility		$49.77	$65.09	$107.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $65.09 / $107.85	Professional		$49.77	$65.09	$107.85
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.04 / $61.74	Professional		$38.90	$43.04	$61.74