Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $40.74 / $97.72	Facility		$16.98	$40.74	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $37.15	Professional		$21.88	$21.88	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $50.12	Professional		$28.84	$33.11	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.88 / $21.88	Facility		$20.89	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $26.30	Professional		$18.62	$21.88	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $16.22 / $23.44	Facility		$2.45	$16.22	$23.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $32.36	Facility		$17.78	$21.38	$32.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $32.36	Professional		$17.78	$21.38	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $25.70	Professional		$21.38	$21.88	$25.70