Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $76.65 / $81.62	Professional		$71.92	$76.65	$81.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $88.55	Professional		$38.61	$38.61	$88.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $87.02 / $120.70	Professional		$77.27	$87.02	$120.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.69 / $148.78	Professional		$42.13	$52.69	$148.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $113.42 / $128.88	Professional		$91.60	$113.42	$128.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $89.69 / $153.30	Facility		$72.95	$89.69	$153.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $164.00 / $207.38	Professional		$94.00	$164.00	$207.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $96.22 / $135.19	Facility		$66.56	$96.22	$135.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $102.46 / $143.96	Professional		$72.58	$102.46	$143.96
United Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $100.02 / $188.78	Professional		$60.01	$100.02	$188.78