Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $43.65 / $57.54	Facility		$19.95	$43.65	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $23.99	Professional		$19.95	$19.95	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $70.79	Facility		$20.89	$41.69	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Professional		$20.89	$20.89	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $53.70	Professional		$30.90	$35.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.89 / $20.89	Facility		$19.50	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $63.10	Professional		$17.78	$20.89	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $46.77	Facility		$20.89	$20.89	$46.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $52.48	Facility		$19.50	$30.20	$52.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $52.48	Professional		$19.50	$30.20	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $38.90	Facility		$17.78	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $25.70	Professional		$19.95	$20.89	$25.70