Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $75.51 / $135.00	Professional		$40.00	$75.51	$135.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.79 / $103.23 / $150.43	Professional	25	$78.79	$103.23	$150.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $80.27 / $131.16	Professional		$46.59	$80.27	$131.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $40.31 / $40.31	Professional		$36.28	$40.31	$40.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Facility		$79.94	$79.94	$79.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $71.92 / $132.55	Professional		$41.60	$71.92	$132.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $97.75 / $117.30	Professional		$83.09	$97.75	$117.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $69.30 / $115.48	Facility		$42.40	$69.30	$115.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $117.12 / $161.38	Professional		$105.00	$117.12	$161.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $55.14 / $76.06	Facility		$41.95	$55.14	$76.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $90.24 / $129.86	Professional		$70.08	$90.24	$129.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $69.62 / $113.86	Professional		$50.34	$69.62	$113.86