Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.03 / $32.97	Facility		$16.22	$17.03	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.03 / $17.03	Professional		$16.22	$17.03	$17.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $24.07 / $39.85	Professional		$15.95	$24.07	$39.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $16.22	Facility		$15.30	$15.30	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.22 / $112.05	Professional		$12.17	$16.22	$112.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.03 / $66.11	Facility		$16.22	$17.03	$66.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.03 / $120.00	Professional		$16.22	$17.03	$120.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $20.76 / $61.08	Facility		$15.41	$20.76	$61.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $20.76 / $61.08	Professional		$15.41	$20.76	$61.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $20.36	Professional		$6.49	$16.22	$20.36