Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $119.72 / $124.56	Professional		$87.37	$119.72	$124.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $137.72	Professional		$66.00	$66.00	$137.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $116.49 / $162.74	Professional		$104.84	$116.49	$162.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $87.03 / $232.91	Professional		$60.70	$87.03	$232.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $138.62 / $221.33	Professional		$116.49	$138.62	$221.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.99 / $185.39 / $264.32	Facility		$90.99	$185.39	$264.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $121.18 / $230.65	Professional		$89.00	$121.18	$230.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $100.02 / $174.74	Facility		$70.68	$100.02	$174.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $110.75 / $174.74	Professional		$70.68	$110.75	$174.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $107.17 / $238.51	Professional		$69.89	$107.17	$238.51