Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $137.69 / $245.43	Professional		$107.92	$137.69	$245.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $152.88 / $255.21	Professional		$121.38	$152.88	$255.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $116.44 / $227.06	Professional		$113.95	$116.44	$227.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $161.94 / $501.99	Professional		$121.81	$161.94	$501.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $150.24 / $245.43	Facility		$109.26	$150.24	$245.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $187.28 / $305.35	Professional		$131.88	$187.28	$305.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $170.61 / $293.92	Facility		$133.72	$170.61	$293.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $170.61 / $293.92	Professional		$133.72	$170.61	$293.92
United Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $162.22 / $268.38	Professional		$107.02	$162.22	$268.38