Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $19.51 / $30.15	Professional		$15.53	$19.51	$30.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $25.55 / $42.65	Professional		$17.23	$25.55	$42.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $15.68 / $20.62	Professional		$14.11	$15.68	$20.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Facility		$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $27.02 / $146.99	Professional		$16.41	$27.02	$146.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $25.05 / $30.06	Professional		$21.30	$25.05	$30.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $29.48 / $152.00	Facility		$19.19	$29.48	$152.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $31.00 / $69.00	Professional		$26.00	$31.00	$69.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $25.91 / $174.21	Facility		$20.02	$25.91	$174.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $25.91 / $174.21	Professional		$20.02	$25.91	$174.21
United Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $21.01 / $144.16	Professional		$13.60	$21.01	$144.16