Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $43.65	Professional		$19.95	$30.90	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $50.12	Professional		$19.95	$25.12	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $40.74	Professional		$33.11	$37.15	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $47.86	Professional		$28.18	$36.31	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $44.67	Facility		$19.95	$32.36	$44.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.88 / $56.23	Facility		$25.70	$33.88	$56.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $56.23	Professional		$25.70	$33.88	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $36.31	Professional		$15.85	$21.88	$36.31