Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $77.05 / $153.22	Facility		$49.95	$77.05	$153.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $52.45 / $52.45	Professional		$49.95	$52.45	$52.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $71.51 / $107.92	Professional		$62.84	$71.51	$107.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $49.95	Facility		$47.12	$47.12	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $59.94 / $69.12	Professional		$42.46	$59.94	$69.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $49.95 / $89.94	Facility		$33.22	$49.95	$89.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $47.45 / $63.94	Facility		$35.21	$47.45	$63.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $47.45 / $63.94	Professional		$35.21	$47.45	$63.94
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $49.95 / $62.69	Professional		$48.45	$49.95	$62.69