Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $49.82 / $66.42	Professional		$28.66	$49.82	$66.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $90.39 / $90.39	Professional		$30.43	$90.39	$90.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $53.14 / $53.14	Professional		$53.14	$53.14	$53.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $91.55 / $91.55	Facility		$91.55	$91.55	$91.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $72.06 / $90.27	Professional		$64.48	$72.06	$90.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $54.80 / $84.39	Facility		$46.65	$54.80	$84.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $102.00 / $177.79	Professional		$41.56	$102.00	$177.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $62.51 / $94.80	Facility		$50.46	$62.51	$94.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $62.51 / $94.80	Professional		$50.46	$62.51	$94.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $37.84 / $50.46	Professional		$34.20	$37.84	$50.46