Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $40.74	Professional		$18.20	$21.88	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $33.11	Professional		$18.20	$23.99	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $229.09	Professional		$144.54	$213.80	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $38.90	Professional		$24.55	$30.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $30.90	Professional		$20.89	$29.51	$30.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $10,000.00	Professional		$15.49	$28.18	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $46.77	Professional		$18.20	$30.20	$46.77