Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $186.50	Facility		$22.55	$22.55	$186.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $24.65 / $59.89	Professional		$22.55	$24.65	$59.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $35.61 / $47.74	Professional		$35.61	$35.61	$47.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $20.76 / $20.76	Professional		$20.76	$20.76	$20.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $42.67 / $58.35	Professional		$31.00	$42.67	$58.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $36.47 / $70.70	Facility		$22.55	$36.47	$70.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $56.00 / $85.49	Professional		$24.05	$56.00	$85.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $56.38 / $104.39	Facility		$31.94	$56.38	$104.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $56.38 / $104.39	Professional		$31.94	$56.38	$104.39
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $18.20 / $30.33	Professional		$15.97	$18.20	$30.33