Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $114.82	Professional		$69.18	$81.28	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $165.96	Professional		$69.18	$91.20	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $95.50	Professional		$79.43	$87.10	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $97.72	Facility		$85.11	$87.10	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $169.82	Professional		$67.61	$93.33	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $102.33	Professional		$64.57	$83.18	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $117.49 / $165.96	Professional		$31.62	$117.49	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $123.03	Facility		$67.61	$85.11	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $117.49	Facility		$69.18	$83.18	$117.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $128.82	Professional		$75.86	$93.33	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $114.82	Professional		$53.70	$72.44	$114.82