Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $162.18	Professional		$74.13	$109.65	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $218.78	Professional		$100.00	$162.18	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $234.42	Professional		$104.71	$123.03	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $257.04	Professional		$109.65	$144.54	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $173.78	Professional		$117.49	$141.25	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $489.78	Professional		$109.65	$138.04	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $204.17	Professional		$87.10	$125.89	$204.17