Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $105.88 / $141.16	Professional		$55.24	$105.88	$141.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $167.97 / $167.97	Professional		$55.40	$167.97	$167.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $112.94 / $112.94	Professional		$112.94	$112.94	$112.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $201.56 / $201.56	Facility		$201.56	$201.56	$201.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $153.16 / $191.85	Professional		$137.04	$153.16	$191.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $116.47 / $180.13	Facility		$99.15	$116.47	$180.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $218.00 / $377.86	Professional		$88.33	$218.00	$377.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.34 / $130.13 / $201.48	Facility		$102.34	$130.13	$201.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $130.13 / $201.48	Professional		$102.34	$130.13	$201.48
United Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $80.43 / $96.73	Professional		$64.36	$80.43	$96.73