Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $165.96	Professional		$61.66	$75.86	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $107.15	Professional		$60.26	$79.43	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $977.24	Professional		$630.96	$933.25	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $134.90	Professional		$77.62	$95.50	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $97.72	Professional		$66.07	$93.33	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $10,000.00	Professional		$50.12	$89.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $158.49	Professional		$57.54	$100.00	$158.49