Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $234.42	Professional		$54.95	$81.28	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $75.86	Professional		$35.48	$35.48	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $89.13	Professional		$75.86	$79.43	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $181.97	Professional		$38.90	$58.88	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $109.65	Professional		$77.62	$95.50	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $190.55	Facility		$69.18	$123.03	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $158.49	Facility		$85.11	$112.20	$158.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $158.49	Professional		$85.11	$107.15	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $181.97	Professional		$52.48	$89.13	$181.97