Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $106.12 / $132.91	Professional		$82.14	$106.12	$132.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $105.36 / $219.85	Professional		$0.02	$105.36	$219.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.37 / $116.04	Professional		$77.62	$91.37	$116.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $135.52 / $277.93	Professional		$73.14	$135.52	$277.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $136.82 / $155.47	Professional		$107.54	$136.82	$155.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $132.91 / $199.38	Facility		$84.63	$132.91	$199.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $167.88 / $217.98	Professional		$133.00	$167.88	$217.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $109.56 / $158.15	Facility		$88.34	$109.56	$158.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $173.23 / $246.49	Professional		$133.25	$173.23	$246.49
United Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $158.28 / $250.22	Professional		$113.13	$158.28	$250.22