Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $41.69	Professional		$15.85	$19.95	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $45.71	Professional		$19.50	$31.62	$45.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $24.55	Professional		$20.42	$22.39	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $112.20	Professional		$16.22	$26.30	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $33.11	Professional		$23.44	$26.30	$33.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $251.19	Professional		$204.17	$229.09	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.30 / $74.13	Facility		$18.62	$26.30	$74.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.30 / $177.83	Facility		$19.95	$26.30	$177.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $177.83	Professional		$19.95	$26.30	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $165.96	Professional		$14.13	$22.91	$165.96