Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $139.32 / $151.60	Professional		$110.64	$139.32	$151.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $83.58 / $174.41	Professional		$83.58	$83.58	$174.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $147.52 / $206.08	Professional		$132.77	$147.52	$206.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $120.85 / $333.30	Professional		$76.76	$120.85	$333.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $175.55 / $280.29	Professional		$147.52	$175.55	$280.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $254.96 / $410.11	Facility		$90.14	$254.96	$410.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $258.00 / $354.05	Professional		$154.90	$258.00	$354.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $199.41 / $273.89	Facility		$140.25	$199.41	$273.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $199.41 / $273.89	Professional		$147.52	$199.41	$273.89
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $152.09 / $329.46	Professional		$88.51	$152.09	$329.46