Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $55.46 / $89.50	Facility		$18.75	$55.46	$89.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $20.00 / $21.25	Professional		$18.75	$20.00	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.95 / $121.75 / $153.75	Facility		$94.95	$121.75	$153.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $28.92 / $43.81	Professional		$28.92	$28.92	$43.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $39.00	Professional		$20.00	$20.00	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $46.72 / $127.47	Facility		$16.25	$46.72	$127.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $30.21 / $36.19	Professional		$14.63	$30.21	$36.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.00 / $37.00	Professional		$25.00	$30.00	$37.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $28.75 / $44.93	Facility		$20.81	$28.75	$44.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $43.45 / $60.00	Professional		$25.00	$43.45	$60.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $25.00 / $40.10	Facility		$17.50	$25.00	$40.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $25.00 / $40.10	Professional		$17.50	$25.00	$40.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $13.00 / $34.03	Professional		$10.50	$13.00	$34.03