Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $251.19	Professional		$50.12	$100.00	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Professional		$50.12	$74.13	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $1,047.13	Professional		$52.48	$75.86	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $181.97	Professional		$52.48	$95.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $151.36	Professional		$100.00	$125.89	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $245.47	Professional		$93.33	$120.23	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $1,288.25	Professional		$83.18	$123.03	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $158.49	Professional		$43.65	$81.28	$158.49