Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $51.82 / $70.22	Professional		$28.35	$51.82	$70.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $81.87 / $81.87	Professional		$33.64	$81.87	$81.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $58.73	Professional		$58.73	$58.73	$58.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $83.10 / $83.10	Facility		$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $79.65 / $99.77	Professional		$71.26	$79.65	$99.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $55.27 / $93.27	Facility		$41.90	$55.27	$93.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $113.00 / $196.49	Professional		$45.93	$113.00	$196.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $67.67 / $104.78	Facility		$53.22	$67.67	$104.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $67.67 / $104.78	Professional		$53.22	$67.67	$104.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $41.83 / $50.42	Professional		$31.37	$41.83	$50.42