Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $165.33 / $352.00	Professional		$150.30	$165.33	$352.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $133.66 / $216.99	Professional		$102.25	$133.66	$216.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $332.45 / $332.45 / $628.33	Professional		$332.45	$332.45	$628.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $123.35	Professional		$102.95	$102.95	$123.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $133.66 / $163.80	Professional		$111.38	$133.66	$163.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.26 / $349.12 / $650.83	Facility		$180.26	$349.12	$650.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $255.00 / $334.85	Professional		$199.00	$255.00	$334.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.18 / $443.75 / $1,561.00	Facility		$169.18	$443.75	$1,561.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $443.75 / $1,559.00	Professional		$169.18	$443.75	$1,559.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.70 / $445.73 / $747.60	Professional		$243.70	$445.73	$747.60