Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $208.93	Professional		$89.13	$109.65	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $245.47	Professional		$109.65	$151.36	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $162.18	Professional		$109.65	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $234.42	Professional		$109.65	$141.25	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $204.17	Professional		$95.50	$114.82	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $204.17	Professional		$120.23	$151.36	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $229.09	Facility		$100.00	$144.54	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $223.87	Facility		$117.49	$141.25	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $223.87	Professional		$117.49	$141.25	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $213.80	Professional		$91.20	$131.83	$213.80