Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $199.53	Professional		$89.13	$104.71	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $165.96	Professional		$112.20	$123.03	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $218.78	Professional		$100.00	$131.83	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $169.82	Professional		$85.11	$104.71	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $190.55	Professional		$138.04	$169.82	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $229.09	Facility		$97.72	$134.90	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $257.04	Professional		$138.04	$138.04	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $199.53	Facility		$104.71	$131.83	$199.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $199.53	Professional		$104.71	$131.83	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $190.55	Professional		$83.18	$120.23	$190.55