Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.05 / $83.18	Facility		$18.20	$19.05	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $25.12	Professional		$12.02	$18.20	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $24.55	Professional		$12.88	$12.88	$24.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $47.86	Professional		$23.99	$33.11	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $31.62	Professional		$20.89	$20.89	$31.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $43.65	Facility		$16.60	$25.12	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $19.50	Professional		$16.22	$19.50	$19.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $114.82	Facility		$20.89	$26.30	$114.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $114.82	Professional		$20.89	$26.30	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $22.91	Professional		$13.18	$14.79	$22.91