Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $63.00 / $73.17	Professional		$34.93	$63.00	$73.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $100.91 / $100.91	Professional		$36.29	$100.91	$100.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $71.41 / $71.41	Professional		$71.41	$71.41	$71.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $99.35 / $99.35	Facility		$99.35	$99.35	$99.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $96.84 / $121.31	Professional		$86.65	$96.84	$121.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $67.20 / $113.40	Facility		$55.68	$67.20	$113.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $138.00 / $238.92	Professional		$55.85	$138.00	$238.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $82.28 / $127.40	Facility		$64.70	$82.28	$127.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $82.28 / $127.40	Professional		$64.70	$82.28	$127.40
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $50.86 / $61.29	Professional		$38.65	$50.86	$61.29