Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $501.19	Professional		$87.10	$114.82	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $138.04 / $245.47	Professional		$54.95	$138.04	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $173.78	Professional		$117.49	$138.04	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $162.18	Facility		$89.13	$114.82	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $181.97	Facility		$112.20	$134.90	$181.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $181.97	Professional		$112.20	$134.90	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $107.15	Professional		$60.26	$70.79	$107.15