Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $47.86 / $63.10	Facility		$21.88	$47.86	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $26.92	Professional		$21.88	$22.91	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $38.90	Professional		$22.91	$22.91	$38.90
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 $21.88 / $22.91 / $22.91	Facility		$21.88	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $37.15	Professional		$19.50	$22.91	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $48.98	Facility		$22.91	$30.90	$48.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.54 / $34.67	Facility		$21.88	$27.54	$34.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $34.67	Professional		$21.88	$27.54	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $28.84	Professional		$22.39	$22.91	$28.84