Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $60.99	Facility		$19.00	$19.00	$60.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $93.12	Professional		$17.97	$19.57	$93.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $41.96 / $53.75	Professional		$19.17	$41.96	$53.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $43.48 / $74.79	Professional		$39.13	$43.48	$74.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.00 / $55.00	Professional		$21.00	$28.00	$55.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $49.13 / $64.95	Professional		$34.00	$49.13	$64.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.57 / $51.99	Facility		$17.89	$19.57	$51.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $83.00 / $113.71	Professional		$63.00	$83.00	$113.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $60.10 / $110.06	Facility		$12.00	$60.10	$110.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $60.10 / $110.06	Professional		$12.00	$60.10	$110.06
United Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $60.90 / $95.47	Professional		$38.89	$60.90	$95.47