Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $181.97	Facility		$19.95	$42.66	$181.97
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 Professional Modifier Low / Median / High Price $19.95 / $19.95 / $33.88	Professional		$19.95	$19.95	$33.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $177.83	Professional		$102.33	$117.49	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.95 / $19.95	Facility		$19.05	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $194.98	Professional		$16.98	$19.95	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $134.90	Facility		$8.71	$19.95	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $24.55 / $95.50	Facility		$19.05	$24.55	$95.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $95.50	Professional		$19.05	$24.55	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $25.12	Professional		$19.50	$19.95	$25.12