Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $44.67	Professional		$23.99	$23.99	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $30.20	Professional		$20.42	$20.42	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $19.50	Facility		$18.20	$18.20	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $36.31	Professional		$18.20	$22.91	$36.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.18 / $40.74	Facility		$23.99	$28.18	$40.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $30.20	Professional		$23.99	$30.20	$30.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $37.15	Facility		$23.99	$28.84	$37.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $37.15	Professional		$23.99	$28.84	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Professional		$25.12	$25.12	$26.30