Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $130.85 / $249.86	Professional		$109.56	$130.85	$249.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $78.70 / $165.42	Professional		$78.70	$78.70	$165.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $127.47 / $187.22	Professional		$127.47	$127.47	$187.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $96.89 / $274.06	Professional		$62.82	$96.89	$274.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $195.38 / $334.10	Professional		$150.29	$195.38	$334.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.56 / $199.54 / $346.21	Facility		$109.56	$199.54	$346.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $276.00 / $412.00	Professional		$185.00	$276.00	$412.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $188.35 / $305.83	Facility		$143.62	$188.35	$305.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.02 / $256.45 / $360.97	Professional		$207.02	$256.45	$360.97
United Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $179.00 / $345.46	Professional		$106.76	$179.00	$345.46