Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $87.10	Professional		$30.90	$40.74	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $79.43	Professional		$37.15	$51.29	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $275.42	Professional		$45.71	$58.88	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $323.59	Professional		$52.48	$93.33	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $100.00	Professional		$30.90	$45.71	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $100.00	Professional		$66.07	$89.13	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $1,023.29	Professional		$35.48	$58.88	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $87.10	Professional		$30.90	$51.29	$87.10