Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $102.33	Professional		$26.92	$60.26	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $125.89	Professional		$30.90	$74.13	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $33.88	Professional		$27.54	$30.90	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $125.89	Professional		$28.18	$67.61	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $117.49	Professional		$66.07	$91.20	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $158.49	Professional		$93.33	$117.49	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $61.66 / $114.82	Facility		$27.54	$61.66	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $63.10	Facility		$30.20	$38.90	$63.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $128.82	Professional		$64.57	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $53.70 / $97.72	Professional		$24.55	$53.70	$97.72