Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $41.69	Facility		$15.14	$17.38	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Professional		$14.13	$15.14	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $20.89	Professional		$15.85	$15.85	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $22.91	Professional		$13.80	$15.85	$22.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.22 / $18.62	Facility		$15.85	$16.22	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $22.39	Professional		$15.85	$15.85	$22.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $7.41 / $30.20	Facility		$0.19	$7.41	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.38 / $17.38	Professional		$6.92	$17.38	$17.38