Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $69.18	Professional		$28.18	$36.31	$69.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $83.18 / $87.10 / $91.20	Professional	52	$83.18	$87.10	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $79.43	Professional		$30.20	$38.90	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $53.70	Professional		$43.65	$48.98	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $70.79	Professional		$23.99	$38.02	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $56.23	Professional		$31.62	$44.67	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $61.66	Professional		$19.05	$26.92	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $50.12	Professional		$19.05	$31.62	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.70 / $43.65	Professional		$16.60	$25.70	$43.65