Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $416.87	Professional		$154.88	$213.80	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $398.11	Professional		$158.49	$229.09	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $3,548.13	Professional		$158.49	$229.09	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $436.52	Professional		$165.96	$239.88	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $338.84	Professional		$223.87	$288.40	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $537.03	Professional		$239.88	$302.00	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $2,290.87	Professional		$186.21	$275.42	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $389.05	Professional		$134.90	$213.80	$389.05