Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $69.45 / $76.06	Professional		$56.86	$69.45	$76.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $86.07 / $142.29	Professional		$67.30	$86.07	$142.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $72.18 / $140.75	Professional		$72.18	$72.18	$140.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $96.52 / $165.68	Professional		$67.81	$96.52	$165.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $86.69 / $254.91	Professional		$67.81	$86.69	$254.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $85.37 / $133.43	Facility		$65.34	$85.37	$133.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $103.00 / $171.10	Professional		$95.00	$103.00	$171.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $95.30 / $147.60	Facility		$77.17	$95.30	$147.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $95.30 / $147.60	Professional		$77.17	$95.30	$147.60
United Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $86.42 / $142.63	Professional		$58.85	$86.42	$142.63