Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $45.57 / $49.83	Facility		$45.57	$45.57	$49.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $45.78 / $58.45	Professional		$40.04	$45.78	$58.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $96.50	Professional		$72.00	$72.00	$96.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $41.93 / $41.93	Professional		$41.93	$41.93	$41.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $86.26 / $117.97	Professional		$62.67	$86.26	$117.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $67.37 / $109.19	Facility		$45.57	$67.37	$109.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $114.00 / $172.80	Professional		$48.61	$114.00	$172.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $86.71 / $144.26	Facility		$64.56	$86.71	$144.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $86.71 / $144.26	Professional		$64.56	$86.71	$144.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $36.79 / $58.26	Professional		$33.43	$36.79	$58.26