Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $97.72	Facility		$18.20	$52.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.18	Professional		$15.85	$19.95	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $100.00	Facility		$25.12	$25.12	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $89.13	Professional		$52.48	$52.48	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $21.38	Professional		$18.20	$19.95	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $114.82	Facility		$25.70	$60.26	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $31.62	Professional		$23.99	$27.54	$31.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $39.81	Facility		$19.50	$25.12	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $52.48	Professional		$36.31	$36.31	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $42.66	Facility		$17.38	$20.89	$42.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $67.61	Professional		$17.38	$22.39	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $30.20	Facility		$16.60	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $16.60	Professional		$10.47	$11.75	$16.60