Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $54.60 / $112.14	Professional		$28.63	$54.60	$112.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.97 / $127.73	Professional		$32.36	$64.97	$127.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $31.88 / $31.88	Professional		$28.69	$31.88	$31.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.53 / $54.53 / $54.53	Facility		$54.53	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $67.62 / $123.94	Professional		$29.08	$67.62	$123.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $96.05 / $115.26	Professional		$81.64	$96.05	$115.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $73.27 / $142.08	Facility		$34.53	$73.27	$142.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $110.00 / $157.00	Professional		$87.00	$110.00	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $39.38 / $59.25	Facility		$32.25	$39.38	$59.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $86.51 / $122.97	Professional		$67.79	$86.51	$122.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $67.81 / $113.02	Professional		$51.73	$67.81	$113.02