Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $51.36 / $236.60	Professional		$38.42	$51.36	$236.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $26.64 / $55.59	Professional		$26.64	$26.64	$55.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $70.45 / $102.63	Professional		$66.38	$70.45	$102.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $46.95 / $146.87	Professional		$28.86	$46.95	$146.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $74.91 / $121.83	Professional		$57.62	$74.91	$121.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $100.66 / $173.85	Facility		$58.99	$100.66	$173.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $117.91 / $172.00	Professional		$77.00	$117.91	$172.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $93.86 / $121.89	Facility		$62.54	$93.86	$121.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $87.75 / $121.89	Professional		$62.54	$87.75	$121.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $68.56 / $134.41	Professional		$39.39	$68.56	$134.41