Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $90.55 / $186.70	Facility		$58.85	$90.55	$186.70
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $131.16 / $177.67 / $218.75	Facility	25	$131.16	$177.67	$218.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $93.25 / $174.07	Professional		$63.90	$93.25	$174.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.64 / $120.72 / $229.08	Professional	25	$73.64	$120.72	$229.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $109.90 / $171.50	Professional		$77.43	$109.90	$171.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $71.59 / $123.01	Professional		$63.08	$71.59	$123.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $135.41 / $256.98	Facility		$109.51	$135.41	$256.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $117.18 / $202.55	Professional		$78.56	$117.18	$202.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $128.97 / $187.46	Professional		$104.41	$128.97	$187.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $109.73 / $175.12	Facility		$75.19	$109.73	$175.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $149.00 / $196.00	Professional		$126.00	$149.00	$196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $95.37 / $159.07	Facility		$77.33	$95.37	$159.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $130.21 / $212.42	Professional		$107.01	$130.21	$212.42
United Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $118.72 / $203.93	Professional		$76.55	$118.72	$203.93