Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $17.47 / $29.49	Professional		$13.75	$17.47	$29.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.02 / $33.21	Professional		$19.98	$26.02	$33.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $15.37 / $16.13	Professional		$15.37	$15.37	$16.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $52.50 / $101.25	Professional		$18.48	$52.50	$101.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $35.22 / $45.00	Professional		$29.60	$35.22	$45.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $23.37 / $41.61	Facility		$14.58	$23.37	$41.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $36.00 / $42.00	Professional		$33.00	$36.00	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $27.25 / $36.10	Facility		$16.05	$27.25	$36.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $31.43 / $41.51	Professional		$20.03	$31.43	$41.51
United Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $25.94 / $53.26	Professional		$17.96	$25.94	$53.26