Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $81.28	Professional		$47.86	$56.23	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $109.65	Professional		$52.48	$72.44	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $134.90	Professional		$45.71	$63.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $109.65	Professional		$48.98	$66.07	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $93.33	Professional		$54.95	$67.61	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $81.28	Professional		$53.70	$67.61	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $114.82	Professional		$57.54	$57.54	$114.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $54.95 / $102.33	Professional		$23.99	$54.95	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $102.33	Professional		$42.66	$61.66	$102.33