Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $21.88	Professional		$12.59	$12.59	$21.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $50.12	Professional		$44.67	$44.67	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $36.31	Facility		$19.95	$19.95	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $912.01 / $10,000.00	Facility		$25.70	$912.01	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $912.01 / $10,000.00	Professional		$25.70	$912.01	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30