Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $20.50 / $137.10	Facility		$20.50	$20.50	$137.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.50 / $29.05	Professional		$15.93	$20.50	$29.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $43.42	Professional		$32.40	$32.40	$43.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $18.88 / $18.88	Professional		$18.88	$18.88	$18.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Facility		$38.88	$38.88	$38.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $38.82 / $53.09	Professional		$28.20	$38.82	$53.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $32.06 / $53.28	Facility		$20.50	$32.06	$53.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $51.00 / $77.76	Professional		$21.86	$51.00	$77.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $43.86 / $78.44	Facility		$29.05	$43.86	$78.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $43.86 / $77.98	Professional		$29.05	$43.86	$77.98
United Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $16.55 / $27.58	Professional		$14.83	$16.55	$27.58