Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $43.99 / $64.84	Professional		$29.42	$43.99	$64.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $49.75	Professional		$21.31	$21.31	$49.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $60.62	Professional		$33.93	$33.93	$60.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $28.02 / $80.83	Professional		$16.73	$28.02	$80.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $67.56 / $90.18	Professional		$51.98	$67.56	$90.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $58.54 / $104.28	Facility		$35.13	$58.54	$104.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $76.00 / $112.00	Professional		$58.83	$76.00	$112.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $50.48 / $77.75	Facility		$39.88	$50.48	$77.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $75.30 / $125.63	Professional		$61.18	$75.30	$125.63
United Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $54.06 / $105.44	Professional		$32.44	$54.06	$105.44