Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $93.33	Professional		$39.81	$77.62	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $123.03 / $213.80	Professional		$39.81	$123.03	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $144.54	Professional		$95.50	$114.82	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $109.65	Professional		$79.43	$79.43	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $125.89	Facility		$52.48	$85.11	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $117.49	Facility		$72.44	$93.33	$117.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $117.49	Professional		$72.44	$93.33	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $74.13	Professional		$46.77	$58.88	$74.13