Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $109.56 / $180.72	Professional		$50.00	$109.56	$180.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.86 / $145.82 / $209.47	Professional	25	$31.86	$145.82	$209.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $113.68 / $185.21	Professional		$70.18	$113.68	$185.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $63.74 / $63.74	Professional		$57.37	$63.74	$63.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $120.68 / $120.68	Facility		$120.68	$120.68	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $104.86 / $193.39	Professional		$60.31	$104.86	$193.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.27 / $137.97 / $165.56	Professional		$117.27	$137.97	$165.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $102.12 / $165.63	Facility		$60.59	$102.12	$165.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $172.00 / $230.00	Professional		$152.00	$172.00	$230.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.79 / $84.58 / $114.20	Facility		$67.79	$84.58	$114.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $129.78 / $183.15	Professional		$103.28	$129.78	$183.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $100.39 / $159.09	Professional		$75.84	$100.39	$159.09