Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $398.11	Professional		$109.65	$208.93	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $380.19	Professional		$123.03	$218.78	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $1,737.80	Professional		$112.20	$125.89	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $407.38	Professional		$125.89	$218.78	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $575.44	Professional		$213.80	$281.84	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $338.84	Professional		$213.80	$223.87	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $354.81	Professional		$107.15	$107.15	$354.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $870.96	Professional		$204.17	$269.15	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $354.81	Professional		$107.15	$194.98	$354.81