Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $76.80 / $109.32	Professional		$54.31	$76.80	$109.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $86.85 / $114.45	Professional		$64.59	$86.85	$114.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $103.16 / $103.16	Professional		$90.78	$103.16	$103.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $82.59 / $166.29	Professional		$43.41	$82.59	$166.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $96.10 / $122.96	Professional		$76.70	$96.10	$122.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $96.00 / $163.00	Professional		$82.00	$96.00	$163.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $73.95 / $137.49	Professional		$32.03	$73.95	$137.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $58.95 / $100.39	Professional		$31.08	$58.95	$100.39