Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $66.07	Facility		$23.99	$50.12	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $28.18	Professional		$22.91	$23.99	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $39.81	Professional		$23.99	$23.99	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $63.10	Professional		$37.15	$41.69	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.99 / $23.99	Facility		$22.39	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $41.69	Professional		$20.42	$23.99	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $23.99 / $56.23	Facility		$4.79	$23.99	$56.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $35.48	Facility		$22.39	$28.84	$35.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $35.48	Professional		$22.39	$28.84	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $29.51	Professional		$22.91	$23.99	$29.51