Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $54.95	Professional		$23.99	$45.71	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $70.79 / $123.03	Professional		$24.55	$70.79	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $87.10	Professional		$58.88	$69.18	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Professional		$47.86	$47.86	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $72.44	Facility		$30.90	$48.98	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $40.74	Professional		$38.90	$38.90	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $72.44	Facility		$44.67	$57.54	$72.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $72.44	Professional		$44.67	$57.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $45.71	Professional		$26.92	$35.48	$45.71