Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $80.39 / $103.58	Professional		$43.99	$80.39	$103.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $127.02 / $127.02	Professional		$47.42	$127.02	$127.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $133.83 / $133.83	Facility		$133.83	$133.83	$133.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $123.57 / $154.78	Professional		$110.56	$123.57	$154.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $85.75 / $144.71	Facility		$65.02	$85.75	$144.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $176.00 / $304.85	Professional		$71.26	$176.00	$304.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $104.99 / $162.56	Facility		$82.56	$104.99	$162.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $104.99 / $162.56	Professional		$82.56	$104.99	$162.56
United Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $64.89 / $78.22	Professional		$48.67	$64.89	$78.22