Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $3,561.98 / $9,691.79	Facility		$31.09	$3,561.98	$9,691.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $32.64 / $52.85	Professional		$31.08	$32.64	$52.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $42.18 / $67.97	Facility		$19.98	$42.18	$67.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $16.60 / $25.05	Professional		$14.59	$16.60	$25.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $19.98	Facility		$17.64	$17.64	$19.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $113.55	Professional		$16.98	$23.99	$113.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $88.50	Facility		$19.98	$19.98	$88.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $24.19 / $101.06	Facility		$18.98	$24.19	$101.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $24.19 / $101.06	Professional		$18.98	$24.19	$101.06
United Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $40.09 / $113.55	Professional		$39.44	$40.09	$113.55