Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $137.06 / $214.73	Professional		$68.00	$137.06	$214.73
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.51 / $180.18 / $538.00	Professional	25	$127.51	$180.18	$538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $136.08 / $227.16	Professional		$86.43	$136.08	$227.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $74.98 / $74.98	Professional		$67.48	$74.98	$74.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $130.58 / $239.81	Professional		$75.00	$130.58	$239.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $162.44 / $194.93	Professional		$138.07	$162.44	$194.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $129.28 / $202.03	Facility		$75.61	$129.28	$202.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $206.00 / $274.00	Professional		$183.00	$206.00	$274.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $108.07 / $146.32	Facility		$89.69	$108.07	$146.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $159.05 / $217.55	Professional		$125.57	$159.05	$217.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $120.35 / $189.65	Professional		$88.96	$120.35	$189.65