Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $70.09 / $82.93	Professional		$41.00	$70.09	$82.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $79.52 / $101.69	Professional		$53.12	$79.52	$101.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $73.31 / $76.05	Professional		$69.14	$73.31	$76.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $33.38 / $89.27	Facility		$23.45	$33.38	$89.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $74.18 / $151.81	Professional		$34.77	$74.18	$151.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $83.28 / $110.11	Professional		$68.69	$83.28	$110.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $70.48 / $93.09	Facility		$32.81	$70.48	$93.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $61.00 / $119.00	Professional		$51.00	$61.00	$119.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $49.63 / $122.25	Facility		$26.19	$49.63	$122.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $49.63 / $122.25	Professional		$26.19	$49.63	$122.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $51.31 / $95.40	Professional		$24.04	$51.31	$95.40