Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $20.89 / $109.65	Facility		$8.13	$20.89	$109.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $70.79 / $87.10 / $87.10	Facility	25	$70.79	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $20.89 / $45.71	Professional		$7.08	$20.89	$45.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $32.36 / $67.61	Professional	25	$19.05	$32.36	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $20.42 / $38.90	Professional		$9.12	$20.42	$38.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.92 / $11.75	Professional		$6.17	$6.92	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $141.25 / $204.17	Facility		$28.18	$141.25	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $21.38 / $35.48	Professional		$9.12	$21.38	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $28.18 / $41.69	Professional		$10.23	$28.18	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $31.62	Professional		$19.50	$23.99	$31.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $20.42 / $36.31	Facility		$8.32	$20.42	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $25.12 / $50.12	Professional		$7.59	$25.12	$50.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.22 / $19.95	Facility		$8.91	$11.22	$19.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $42.66	Professional		$19.95	$25.70	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $34.67	Professional		$7.76	$17.38	$34.67