Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $469.98 / $813.25	Professional		$20.84	$469.98	$813.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $25.54	Professional		$12.24	$12.24	$25.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $27.37 / $38.10	Professional		$25.35	$27.37	$38.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $26.29 / $59.38	Professional		$11.91	$26.29	$59.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $28.84 / $49.82	Professional		$21.64	$28.84	$49.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $34.33 / $93.90	Facility		$23.22	$34.33	$93.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $46.00 / $105.00	Professional		$26.00	$46.00	$105.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $34.63 / $64.73	Facility		$22.17	$34.63	$64.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $35.72 / $64.29	Professional		$22.04	$35.72	$64.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $26.17 / $49.80	Professional		$13.30	$26.17	$49.80