Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $122.19 / $165.31	Professional		$107.81	$122.19	$165.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $149.33	Professional		$71.56	$71.56	$149.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $143.75 / $190.50	Professional		$129.38	$143.75	$190.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $102.23 / $255.78	Professional		$71.12	$102.23	$255.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $171.06 / $268.35	Professional		$143.75	$171.06	$268.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $227.71 / $406.66	Facility		$122.19	$227.71	$406.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $241.00 / $339.60	Professional		$150.94	$241.00	$339.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $184.41 / $265.94	Facility		$136.66	$184.41	$265.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $184.41 / $265.94	Professional		$143.75	$184.41	$265.94
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $143.75 / $287.50	Professional		$86.25	$143.75	$287.50