Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $41.85 / $48.90	Professional		$22.45	$41.85	$48.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $64.09 / $64.09	Professional		$24.72	$64.09	$64.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $45.98 / $45.98	Professional		$45.98	$45.98	$45.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $64.87 / $64.87	Facility		$64.87	$64.87	$64.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $62.36 / $78.11	Professional		$55.79	$62.36	$78.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.88 / $43.26 / $73.01	Facility		$36.88	$43.26	$73.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $89.00 / $153.84	Professional		$35.96	$89.00	$153.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $52.97 / $82.02	Facility		$42.97	$52.97	$82.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $52.97 / $82.02	Professional		$41.66	$52.97	$82.02
United Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $32.74 / $39.47	Professional		$24.56	$32.74	$39.47