Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $20.18 / $306.86	Facility		$19.71	$20.18	$306.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.71 / $24.05	Professional		$16.86	$19.71	$24.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.08 / $32.74	Professional		$17.82	$23.08	$32.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $22.79 / $42.05	Professional		$22.79	$22.79	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $151.35 / $323.97	Facility		$22.69	$151.35	$323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $25.32 / $42.55	Professional		$19.37	$25.32	$42.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $23.50 / $28.52	Professional		$18.80	$23.50	$28.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $21.07 / $32.09	Facility		$17.14	$21.07	$32.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $33.00 / $46.80	Professional		$26.00	$33.00	$46.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $24.00 / $39.97	Facility		$19.22	$24.00	$39.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $24.00 / $39.97	Professional		$19.22	$24.00	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $24.13 / $37.77	Professional		$15.97	$24.13	$37.77