Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $67.22 / $85.14	Professional		$36.82	$67.22	$85.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $106.23 / $106.23	Professional		$43.65	$106.23	$106.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.69 / $107.69 / $107.69	Facility		$107.69	$107.69	$107.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $103.33 / $129.44	Professional		$92.45	$103.33	$129.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $71.70 / $121.00	Facility		$54.41	$71.70	$121.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $147.00 / $254.95	Professional		$59.59	$147.00	$254.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $87.80 / $135.93	Facility		$71.23	$87.80	$135.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $87.80 / $135.93	Professional		$69.05	$87.80	$135.93
United Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $54.26 / $65.26	Professional		$40.70	$54.26	$65.26