Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $61.66	Professional		$26.92	$52.48	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $79.43 / $141.25	Professional		$31.62	$79.43	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $97.72	Professional		$66.07	$77.62	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $56.23 / $89.13	Facility		$35.48	$56.23	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $48.98	Professional		$43.65	$43.65	$48.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $81.28	Facility		$50.12	$63.10	$81.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $81.28	Professional		$50.12	$63.10	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $51.29	Professional		$30.20	$39.81	$51.29