Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $338.84	Professional		$109.65	$208.93	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $371.54	Professional		$117.49	$213.80	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $104.71	Professional		$87.10	$97.72	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $426.58	Professional		$107.15	$218.78	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $251.19	Professional		$162.18	$213.80	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $562.34	Professional		$288.40	$288.40	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $7,413.10	Professional		$190.55	$302.00	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $371.54	Professional		$97.72	$199.53	$371.54