Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.88 / $309.03	Facility		$19.05	$33.88	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $31.62	Professional		$15.85	$19.05	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $37.15	Professional		$18.62	$25.70	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $31.62	Professional		$21.38	$23.44	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $154.88 / $323.59	Facility		$151.36	$154.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $39.81	Professional		$19.05	$25.12	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $31.62	Professional		$20.42	$25.12	$31.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $37.15	Facility		$17.38	$22.91	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Facility		$19.05	$23.99	$42.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $257.04 / $812.83	Facility		$234.42	$257.04	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $38.02	Professional		$15.85	$23.99	$38.02