Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $446.68	Facility		$16.98	$22.39	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $34.67 / $63.10	Professional		$18.20	$34.67	$63.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	25	$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $41.69	Professional		$23.44	$28.18	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $36.31	Professional		$27.54	$29.51	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $64.57	Professional		$19.95	$33.88	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $38.02	Professional		$20.89	$28.18	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $50.12	Professional		$30.20	$45.71	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $61.66	Facility		$23.44	$38.02	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $39.81	Professional		$23.99	$23.99	$39.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $51.29	Facility		$25.12	$38.02	$51.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $53.70	Professional		$27.54	$39.81	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $426.58	Facility		$39.81	$39.81	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $56.23	Professional		$22.39	$38.02	$56.23