Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $123.03	Professional		$56.23	$104.71	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $302.00	Professional		$60.26	$169.82	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $169.82	Professional		$114.82	$134.90	$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 $75.86 / $104.71 / $154.88	Facility		$75.86	$104.71	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $102.33	Professional		$75.86	$75.86	$102.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $141.25	Facility		$87.10	$109.65	$141.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $141.25	Professional		$87.10	$109.65	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $93.33	Professional		$63.10	$69.18	$93.33