Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $59.86 / $65.89	Professional		$49.53	$59.86	$65.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $75.06 / $124.09	Professional		$58.69	$75.06	$124.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $122.69	Professional		$62.92	$62.92	$122.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Facility		$72.36	$72.36	$72.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $83.87 / $144.40	Professional		$58.75	$83.87	$144.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $75.09 / $220.31	Professional		$58.75	$75.09	$220.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $73.95 / $116.11	Facility		$56.33	$73.95	$116.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $89.00 / $148.19	Professional		$82.00	$89.00	$148.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $82.99 / $128.91	Facility		$67.16	$82.99	$128.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $82.99 / $128.91	Professional		$67.16	$82.99	$128.91
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $75.81 / $129.52	Professional		$52.75	$75.81	$129.52