Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $194.41 / $273.22	Professional		$127.26	$194.41	$273.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $211.92 / $321.99	Professional		$128.60	$211.92	$321.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $150.77 / $974.00	Professional		$147.69	$150.77	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $222.47 / $383.76	Professional		$135.54	$222.47	$383.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $266.81 / $317.63	Professional		$238.76	$266.81	$317.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $335.00 / $445.00	Professional		$290.00	$335.00	$445.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $298.49 / $1,148.26	Professional		$203.67	$298.49	$1,148.26
United Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $252.41 / $440.54	Professional		$183.03	$252.41	$440.54