Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $87.10	Professional		$37.15	$47.86	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $104.71	Professional		$47.86	$67.61	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $151.36	Professional		$30.90	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $114.82	Professional		$40.74	$61.66	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $83.18	Professional		$56.23	$67.61	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $123.03	Professional		$53.70	$66.07	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $89.13	Professional		$39.81	$39.81	$89.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $53.70 / $144.54	Professional		$14.45	$53.70	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $102.33	Professional		$36.31	$56.23	$102.33