Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $275.42	Professional		$63.10	$91.20	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $91.20	Professional		$41.69	$41.69	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $95.50	Professional		$75.86	$83.18	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $162.18	Professional		$38.90	$54.95	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $128.82	Professional		$93.33	$114.82	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $169.82	Facility		$72.44	$112.20	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $190.55	Facility		$83.18	$117.49	$190.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $223.87	Professional		$93.33	$141.25	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $173.78	Professional		$47.86	$89.13	$173.78