Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $239.88	Professional		$128.82	$147.91	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $245.47	Professional		$125.89	$177.83	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $154.88	Professional		$128.82	$144.54	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $281.84	Professional		$95.50	$158.49	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $186.21	Professional		$125.89	$158.49	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $154.88	Professional		$53.70	$53.70	$154.88
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 $102.33 / $181.97 / $4,073.80	Professional		$102.33	$181.97	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $245.47	Professional		$93.33	$131.83	$245.47