Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $47.48 / $104.58	Professional		$17.48	$47.48	$104.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $60.02 / $120.37	Professional		$20.37	$60.02	$120.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $18.62 / $18.62	Professional		$16.76	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Facility		$33.93	$33.93	$33.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $57.28 / $114.63	Professional		$18.11	$57.28	$114.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $91.72 / $110.06	Professional		$77.95	$91.72	$110.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $63.61 / $114.15	Facility		$21.76	$63.61	$114.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $98.00 / $148.72	Professional		$69.00	$98.00	$148.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $25.46 / $35.58	Facility		$19.82	$25.46	$35.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $80.12 / $116.91	Professional		$57.81	$80.12	$116.91
United Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.78 / $98.55	Professional		$44.98	$61.78	$98.55