Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $194.98	Professional		$70.79	$107.15	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $93.33 / $257.04	Professional		$0.02	$93.33	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $85.11	Professional		$74.13	$77.62	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $275.42	Professional		$72.44	$134.90	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $162.18	Professional		$112.20	$141.25	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $199.53	Facility		$81.28	$125.89	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $165.96	Facility		$89.13	$112.20	$165.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $263.03	Professional		$131.83	$173.78	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $234.42	Professional		$75.86	$128.82	$234.42