Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $53.24 / $468.00	Facility		$37.53	$53.24	$468.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $131.07 / $140.07 / $171.16	Facility	25	$131.07	$140.07	$171.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $63.77 / $109.15	Professional		$38.64	$63.77	$109.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.18 / $81.38 / $152.12	Professional	25	$47.18	$81.38	$152.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $69.27 / $109.09	Professional		$45.94	$69.27	$109.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $41.23 / $80.40	Professional		$41.23	$41.23	$80.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $128.00 / $256.98	Facility		$62.64	$128.00	$256.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $77.00 / $137.56	Professional		$49.86	$77.00	$137.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $83.13 / $131.41	Professional		$64.81	$83.13	$131.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $75.11 / $117.92	Facility		$46.82	$75.11	$117.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $103.00 / $139.00	Professional		$86.00	$103.00	$139.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $62.08 / $97.02	Facility		$49.73	$62.08	$97.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $87.10 / $142.29	Professional		$71.58	$87.10	$142.29
United Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $80.38 / $143.07	Professional		$54.35	$80.38	$143.07