Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $117.49	Professional		$57.54	$67.61	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $154.88	Professional		$70.79	$95.50	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $100.00	Professional		$69.18	$72.44	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $151.36	Professional		$69.18	$93.33	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $120.23	Professional		$60.26	$72.44	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $141.25	Facility		$63.10	$87.10	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $144.54	Facility		$75.86	$91.20	$144.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $144.54	Professional		$75.86	$91.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $141.25	Professional		$60.26	$87.10	$141.25