Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $338.84	Professional		$70.79	$125.89	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $36.31 / $114.82	Professional		$0.02	$36.31	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,905.46	Professional		$1,621.81	$1,737.80	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Professional		$72.44	$72.44	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $154.88	Professional		$107.15	$134.90	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $354.81	Facility		$117.49	$147.91	$354.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $251.19	Facility		$134.90	$165.96	$251.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $251.19	Professional		$134.90	$165.96	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $257.04	Professional		$97.72	$144.54	$257.04