Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $80.09 / $126.84	Professional		$49.22	$80.09	$126.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $89.89 / $146.88	Professional		$55.76	$89.89	$146.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $53.12 / $53.12	Professional		$47.81	$53.12	$53.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $92.17 / $92.17	Facility		$92.17	$92.17	$92.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $87.65 / $151.32	Professional		$49.63	$87.65	$151.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $108.97 / $130.77	Professional		$92.63	$108.97	$130.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $95.19 / $214.36	Facility		$56.16	$95.19	$214.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $133.25 / $185.00	Professional		$118.00	$133.25	$185.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $66.75 / $95.81	Facility		$54.50	$66.75	$95.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $105.25 / $149.28	Professional		$82.70	$105.25	$149.28
United Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $80.73 / $127.51	Professional		$58.03	$80.73	$127.51