Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $70.15 / $118.97	Professional		$41.38	$70.15	$118.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.93 / $101.86 / $314.00	Professional	25	$21.93	$101.86	$314.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $76.22 / $124.78	Professional		$42.35	$76.22	$124.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $36.90 / $36.90	Professional		$33.21	$36.90	$36.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $70.00 / $126.01	Professional		$40.04	$70.00	$126.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $92.92 / $111.50	Professional		$78.98	$92.92	$111.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $71.40 / $110.10	Facility		$43.02	$71.40	$110.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $110.00 / $154.00	Professional		$100.00	$110.00	$154.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $52.77 / $70.81	Facility		$43.49	$52.77	$70.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $87.14 / $124.87	Professional		$68.25	$87.14	$124.87
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $67.98 / $110.47	Professional		$52.49	$67.98	$110.47