Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $62.45 / $74.09	Professional		$32.58	$62.45	$74.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $101.98 / $101.98	Professional		$36.88	$101.98	$101.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $66.61 / $66.61	Professional		$66.61	$66.61	$66.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $101.12	Facility		$101.12	$101.12	$101.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $90.33 / $113.15	Professional		$80.81	$90.33	$113.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $62.68 / $105.77	Facility		$54.34	$62.68	$105.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $128.00 / $222.84	Professional		$52.09	$128.00	$222.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $76.73 / $118.83	Facility		$60.35	$76.73	$118.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $76.73 / $118.83	Professional		$60.35	$76.73	$118.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $47.44 / $57.18	Professional		$39.07	$47.44	$57.18