Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $67.61	Professional		$33.88	$39.81	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $77.62	Professional		$33.88	$46.77	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $363.08	Professional		$35.48	$45.71	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $229.09	Professional		$47.86	$123.03	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $87.10	Professional		$27.54	$40.74	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $131.83	Professional		$77.62	$114.82	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $363.08	Professional		$36.31	$57.54	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $102.33	Professional		$32.36	$52.48	$102.33