Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $39.22 / $39.63	Facility		$39.22	$39.22	$39.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $39.22 / $40.88	Professional		$36.22	$39.22	$40.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $74.34 / $78.95	Facility		$74.34	$74.34	$78.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $52.97	Professional		$42.38	$42.38	$52.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $50.83	Professional		$43.45	$43.45	$50.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Facility		$43.76	$43.76	$43.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $66.92 / $89.22	Professional		$52.05	$66.92	$89.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $45.89 / $84.64	Facility		$21.92	$45.89	$84.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $97.66 / $123.85	Professional		$53.75	$97.66	$123.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $57.17 / $97.70	Facility		$42.90	$57.17	$97.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $57.17 / $97.70	Professional		$42.90	$57.17	$97.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.10 / $53.23	Professional		$33.96	$37.10	$53.23