Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $53.84 / $61.58	Professional		$28.00	$53.84	$61.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $84.50 / $84.50	Professional		$28.73	$84.50	$84.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $60.62 / $60.62	Professional		$60.62	$60.62	$60.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $83.58 / $83.58	Facility		$83.58	$83.58	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $82.20 / $102.97	Professional		$73.55	$82.20	$102.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $57.04 / $96.26	Facility		$44.22	$57.04	$96.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $117.00 / $202.80	Professional		$47.40	$117.00	$202.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $69.84 / $108.14	Facility		$54.93	$69.84	$108.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $69.84 / $108.14	Professional		$54.93	$69.84	$108.14
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $43.17 / $52.04	Professional		$32.38	$43.17	$52.04