Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $139.09 / $308.12	Professional		$112.73	$139.09	$308.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $83.43 / $174.10	Professional		$83.43	$83.43	$174.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $150.30 / $222.10	Professional		$135.27	$150.30	$222.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $112.08 / $314.08	Professional		$76.59	$112.08	$314.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $178.86 / $285.57	Professional		$150.30	$178.86	$285.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $254.53 / $360.05	Facility		$119.49	$254.53	$360.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $138.00 / $297.58	Professional		$89.00	$138.00	$297.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $109.71 / $225.45	Facility		$70.68	$109.71	$225.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $111.19 / $225.45	Professional		$70.68	$111.19	$225.45
United Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $145.19 / $300.60	Professional		$86.41	$145.19	$300.60