Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $15.85	Facility		$15.14	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $23.99	Professional		$12.88	$15.14	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $22.91	Professional		$12.88	$16.22	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $26.30	Professional		$18.62	$20.89	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $72.44 / $72.44	Facility		$35.48	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $38.02	Professional		$15.49	$19.50	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $25.70	Professional		$14.79	$19.50	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $26.92	Facility		$13.49	$17.78	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $29.51 / $45.71	Facility		$19.50	$29.51	$45.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $46.77	Professional		$19.50	$29.51	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $34.67	Professional		$17.38	$22.91	$34.67