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 $15.85 / $19.95 / $25.12	Professional		$15.85	$19.95	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $29.51	Professional		$27.54	$27.54	$29.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $29.51	Professional		$19.50	$22.91	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $38.02	Professional		$23.99	$28.18	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.62 / $34.67	Facility		$10.96	$18.62	$34.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.89 / $28.18	Facility		$2.14	$3.89	$28.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.89 / $28.18	Professional		$2.14	$3.89	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $11.48 / $20.89	Facility		$1.29	$11.48	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $26.30	Professional		$14.45	$16.98	$26.30