Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $68.20 / $89.59	Professional		$38.18	$68.20	$89.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $120.39 / $120.39	Professional		$41.89	$120.39	$120.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Professional		$72.73	$72.73	$72.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $119.89 / $119.89	Facility		$119.89	$119.89	$119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $98.65 / $123.57	Professional		$88.26	$98.65	$123.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $72.29 / $115.53	Facility		$63.87	$72.29	$115.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $140.00 / $243.38	Professional		$56.90	$140.00	$243.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $85.58 / $129.78	Facility		$65.93	$85.58	$129.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $85.58 / $129.78	Professional		$65.93	$85.58	$129.78
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $51.81 / $62.46	Professional		$46.13	$51.81	$62.46