Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $141.25	Professional		$40.74	$72.44	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $112.20 / $316.23	Professional	25	$87.10	$112.20	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $147.91	Professional		$47.86	$81.28	$147.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $47.86	Professional		$34.67	$42.66	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $117.49	Professional		$39.81	$69.18	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $114.82	Professional		$81.28	$91.20	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Professional		$79.43	$97.72	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $109.65	Facility		$41.69	$66.07	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $70.79	Facility		$41.69	$52.48	$70.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $125.89	Professional		$66.07	$85.11	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $89.13	Professional		$33.11	$53.70	$89.13