Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $28.84	Facility		$26.92	$26.92	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $41.69	Professional		$17.38	$26.92	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $44.67	Professional		$21.38	$21.38	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $28.84	Professional		$23.44	$23.44	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.84	Professional		$24.55	$24.55	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $69.18	Professional		$31.62	$45.71	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $46.77	Professional		$23.99	$31.62	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $57.54	Facility		$18.20	$33.88	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $32.36	Professional		$26.30	$28.18	$32.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $42.66 / $141.25	Facility		$33.11	$42.66	$141.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $141.25	Professional		$33.11	$42.66	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $23.99	Facility		$15.49	$18.62	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $34.67	Professional		$19.95	$23.99	$34.67