Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $100.00	Professional		$41.69	$79.43	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $125.89 / $223.87	Professional		$41.69	$125.89	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $151.36	Professional		$102.33	$120.23	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $117.49	Professional		$83.18	$83.18	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $131.83	Facility		$54.95	$83.18	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Professional		$66.07	$69.18	$69.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $125.89	Facility		$77.62	$100.00	$125.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $125.89	Professional		$77.62	$100.00	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $75.86	Professional		$47.86	$63.10	$75.86