Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.95	Facility		$16.98	$16.98	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $36.31	Professional		$16.98	$19.95	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $36.31	Professional		$17.78	$23.99	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $758.58	Professional		$17.38	$19.50	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $398.11 / $1,288.25	Facility		$85.11	$398.11	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $50.12	Professional		$19.05	$32.36	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $31.62	Professional		$14.45	$18.20	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $47.86	Professional		$37.15	$44.67	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $47.86	Facility		$17.78	$25.70	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $50.12	Facility		$19.50	$34.67	$50.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $50.12	Professional		$19.50	$34.67	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $724.44 / $2,454.71	Facility		$660.69	$724.44	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $45.71	Professional		$15.85	$27.54	$45.71