Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $109.65	Professional		$64.57	$81.28	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $181.97	Professional		$64.57	$93.33	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $93.33	Professional		$38.90	$48.98	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $186.21	Professional		$66.07	$95.50	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $120.23	Professional		$69.18	$93.33	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $162.18	Professional		$97.72	$120.23	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $134.90	Facility		$70.79	$91.20	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $53.70 / $102.33	Facility		$36.31	$53.70	$102.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $112.20	Professional		$36.31	$75.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $117.49	Professional		$56.23	$74.13	$117.49