Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $229.09	Professional		$114.82	$144.54	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $489.78	Professional		$208.93	$295.12	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $354.81	Professional		$125.89	$141.25	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $295.12	Professional		$131.83	$173.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $269.15	Professional		$141.25	$177.83	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $288.40	Professional		$154.88	$194.98	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $323.59	Professional		$138.04	$177.83	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $275.42	Professional		$120.23	$169.82	$275.42