Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $136.13 / $176.00	Professional		$106.87	$136.13	$176.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $145.97 / $211.91	Professional		$106.37	$145.97	$211.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $186.62 / $974.00	Professional		$128.36	$186.62	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $158.58 / $286.38	Professional		$112.45	$158.58	$286.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $167.16 / $206.16	Professional		$139.30	$167.16	$206.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $191.00 / $272.00	Professional		$156.00	$191.00	$272.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $172.63 / $805.00	Professional		$128.26	$172.63	$805.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $173.91 / $291.88	Professional		$109.59	$173.91	$291.88