Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $208.93 / $851.14	Professional		$19.95	$208.93	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $26.30	Professional		$12.30	$12.30	$26.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $23.44	Professional		$20.42	$21.38	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.30 / $58.88	Professional		$12.30	$26.30	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $33.88	Professional		$22.91	$29.51	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.11 / $72.44	Facility		$19.95	$33.11	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $64.57	Facility		$22.39	$40.74	$64.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $64.57	Professional		$21.88	$40.74	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.12 / $69.18	Professional		$13.18	$25.12	$69.18