Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $60.26 / $104.71	Professional		$28.84	$60.26	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $77.62 / $151.36	Professional		$35.48	$77.62	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $35.48	Professional		$28.84	$31.62	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $66.07 / $120.23	Professional		$28.84	$66.07	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $120.23	Professional		$85.11	$95.50	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $89.13	Professional		$83.18	$85.11	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $70.79 / $128.82	Facility		$31.62	$70.79	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $53.70	Facility		$29.51	$38.90	$53.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $123.03	Professional		$63.10	$87.10	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $47.86 / $89.13	Professional		$24.55	$47.86	$89.13