Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $57.54 / $363.08	Facility		$19.95	$57.54	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $40.74	Professional		$19.95	$20.42	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $34.67	Professional		$20.42	$20.42	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $66.07	Professional		$38.02	$43.65	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $112.20	Professional		$17.38	$20.42	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $70.79 / $85.11	Facility		$20.42	$70.79	$85.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $91.20	Facility		$19.50	$25.12	$91.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $91.20	Professional		$19.50	$25.12	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $25.70	Professional		$19.95	$20.42	$25.70