Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $109.26 / $138.93	Professional		$82.49	$109.26	$138.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $102.57 / $169.57	Professional		$80.20	$102.57	$169.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $73.39 / $822.00	Professional		$69.80	$73.39	$822.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $129.36 / $221.54	Professional		$88.15	$129.36	$221.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $157.84 / $186.54	Professional		$121.97	$157.84	$186.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $167.00 / $210.00	Professional		$146.00	$167.00	$210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $147.66 / $541.90	Professional		$109.60	$147.66	$541.90
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $137.22 / $220.03	Professional		$89.41	$137.22	$220.03