Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $338.84	Professional		$91.20	$120.23	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $389.05	Professional		$154.88	$218.78	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $354.81	Professional		$107.15	$120.23	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $223.87	Professional		$104.71	$138.04	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $204.17	Professional		$102.33	$128.82	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $218.78	Professional		$125.89	$154.88	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $251.19	Professional		$107.15	$151.36	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $218.78	Professional		$89.13	$128.82	$218.78