Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $91.69 / $122.68	Professional		$56.98	$91.69	$122.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $168.88 / $168.88	Professional		$58.47	$168.88	$168.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $97.80 / $97.80	Professional		$97.80	$97.80	$97.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $169.89 / $169.89	Facility		$169.89	$169.89	$169.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $132.63 / $166.15	Professional		$118.68	$132.63	$166.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $99.00 / $155.32	Facility		$85.86	$99.00	$155.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $188.00 / $327.24	Professional		$76.48	$188.00	$327.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.61 / $115.05 / $174.48	Facility		$88.61	$115.05	$174.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $115.05 / $174.48	Professional		$88.61	$115.05	$174.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $69.65 / $83.94	Professional		$62.95	$69.65	$83.94