Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $18.17 / $119.24	Facility		$8.89	$18.17	$119.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $19.07 / $25.82	Professional		$18.17	$19.07	$25.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $27.03 / $40.79	Professional		$23.75	$27.03	$40.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $18.17	Facility		$17.14	$17.14	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $21.80 / $39.79	Professional		$15.44	$21.80	$39.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $83.08	Facility		$18.17	$18.17	$83.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $21.99 / $37.04	Facility		$17.26	$21.99	$37.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $21.99 / $37.04	Professional		$17.26	$21.99	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $18.17 / $22.80	Professional		$17.62	$18.17	$22.80