Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $112.20	Facility		$20.89	$26.92	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $69.18	Professional		$21.38	$28.18	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $47.86	Professional		$21.88	$30.20	$47.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $109.65	Professional		$21.38	$26.92	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $56.23	Professional		$22.91	$31.62	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $42.66	Professional		$17.78	$24.55	$42.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $44.67	Facility		$21.38	$28.18	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $61.66	Facility		$22.39	$30.20	$61.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $61.66	Professional		$23.44	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $47.86	Professional		$20.89	$28.84	$47.86