Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $154.88	Professional		$57.54	$114.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $323.59	Professional		$60.26	$181.97	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Professional		$93.33	$93.33	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $177.83	Facility		$85.11	$109.65	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $104.71	Professional		$77.62	$77.62	$104.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $141.25	Facility		$89.13	$112.20	$141.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $141.25	Professional		$89.13	$112.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $100.00	Professional		$61.66	$70.79	$100.00