Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $28.29 / $28.29	Facility		$26.94	$28.29	$28.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.29	Professional		$26.94	$26.94	$28.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $36.11	Professional		$26.94	$26.94	$36.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $34.44	Professional		$11.64	$11.64	$34.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $26.94	Facility		$25.42	$25.42	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $26.94 / $107.15	Professional		$22.90	$26.94	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $27.75 / $45.53	Facility		$26.94	$27.75	$45.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $50.00 / $64.00	Professional		$16.00	$50.00	$64.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $31.31 / $77.52	Facility		$26.09	$31.31	$77.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $31.31 / $77.52	Professional		$26.09	$31.31	$77.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.74	Professional		$26.94	$26.94	$28.74