Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $154.88	Professional		$56.23	$77.62	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $181.97	Professional		$67.61	$87.10	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $120.23	Professional		$97.72	$109.65	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $151.36	Professional		$42.66	$83.18	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $123.03	Professional		$67.61	$95.50	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $141.25	Professional		$31.62	$53.70	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.44 / $117.49	Professional		$31.62	$72.44	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $100.00	Professional		$27.54	$57.54	$100.00