Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $194.98	Professional		$102.33	$125.89	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $281.84	Professional		$114.82	$158.49	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $354.81	Professional		$109.65	$123.03	$354.81
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 $123.03 / $154.88 / $223.87	Professional		$123.03	$154.88	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Professional		$112.20	$141.25	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $288.40	Professional		$112.20	$154.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $229.09	Professional		$97.72	$134.90	$229.09