Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $54.95	Professional		$15.14	$30.20	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $39.81 / $75.86	Professional		$18.62	$39.81	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $19.05	Professional		$15.49	$17.38	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $34.67 / $61.66	Professional		$15.49	$34.67	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $60.26	Professional		$42.66	$47.86	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $57.54	Professional		$53.70	$54.95	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.11 / $61.66	Facility		$16.22	$33.11	$61.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.89 / $30.20	Facility		$15.49	$20.89	$30.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $64.57	Professional		$32.36	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $27.54 / $46.77	Professional		$13.18	$27.54	$46.77