Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $181.97	Professional		$77.62	$112.20	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $213.80	Professional		$83.18	$125.89	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $1,047.13	Professional		$75.86	$102.33	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $229.09	Professional		$87.10	$128.82	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $208.93	Professional		$134.90	$173.78	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $263.03	Professional		$144.54	$181.97	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $1,288.25	Professional		$104.71	$147.91	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $199.53	Professional		$69.18	$114.82	$199.53