Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $194.98	Professional		$83.18	$158.49	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $251.19 / $446.68	Professional		$93.33	$251.19	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $275.42	Professional		$186.21	$218.78	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $257.04	Facility		$117.49	$162.18	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Professional		$125.89	$125.89	$151.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $229.09	Facility		$141.25	$181.97	$229.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $229.09	Professional		$141.25	$181.97	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $144.54	Professional		$95.50	$114.82	$144.54