Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $44.67	Professional		$19.95	$37.15	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $104.71	Professional		$20.89	$58.88	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $70.79	Professional		$47.86	$57.54	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Professional		$39.81	$39.81	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $61.66	Facility		$25.70	$39.81	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $36.31	Professional		$32.36	$32.36	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $58.88	Facility		$37.15	$46.77	$58.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $58.88	Professional		$36.31	$46.77	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $37.15	Professional		$22.39	$29.51	$37.15