Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $89.01 / $127.03	Professional		$49.60	$89.01	$127.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $156.40 / $156.40	Professional		$48.82	$156.40	$156.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $87.91 / $87.91	Professional		$87.91	$87.91	$87.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $184.01 / $184.01	Facility		$184.01	$184.01	$184.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $119.23 / $149.35	Professional		$106.68	$119.23	$149.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $98.56 / $141.94	Facility		$77.18	$98.56	$141.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $169.00 / $294.14	Professional		$68.75	$169.00	$294.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.66 / $103.42 / $156.84	Facility		$79.66	$103.42	$156.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $103.42 / $156.84	Professional		$79.66	$103.42	$156.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $62.61 / $75.47	Professional		$56.59	$62.61	$75.47