Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $63.10 / $76.80	Professional		$52.00	$63.10	$76.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $74.48 / $103.82	Professional		$57.91	$74.48	$103.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $34.31 / $63.30	Professional		$30.88	$34.31	$63.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $135.00	Facility		$74.94	$74.94	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $81.54 / $133.43	Professional		$59.65	$81.54	$133.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $74.65 / $107.07	Professional		$63.45	$74.65	$107.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $71.29 / $108.09	Facility		$59.83	$71.29	$108.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $73.00 / $121.00	Professional		$40.14	$73.00	$121.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $51.68 / $95.64	Facility		$26.76	$51.68	$95.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $67.06 / $108.53	Professional		$33.76	$67.06	$108.53
United Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $68.66 / $109.94	Professional		$45.77	$68.66	$109.94