Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $416.87	Professional		$107.15	$138.04	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $275.42	Professional		$125.89	$173.78	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $218.78	Professional		$144.54	$151.36	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $269.15	Professional		$125.89	$165.96	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $239.88	Professional		$109.65	$131.83	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $245.47	Professional		$144.54	$177.83	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $263.03	Facility		$114.82	$165.96	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $257.04	Facility		$134.90	$165.96	$257.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $257.04	Professional		$134.90	$165.96	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $245.47	Professional		$107.15	$151.36	$245.47