Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $121.90 / $445.81	Facility		$82.22	$121.90	$445.81
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $149.94 / $195.51 / $2,487.76	Facility	25	$149.94	$195.51	$2,487.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $135.71 / $245.71	Professional		$93.19	$135.71	$245.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.36 / $193.56 / $369.13	Professional	25	$91.36	$193.56	$369.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $181.08 / $278.27	Professional		$124.85	$181.08	$278.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $122.07 / $181.70	Professional		$93.18	$122.07	$181.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $150.00 / $256.98	Facility		$120.00	$150.00	$256.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $171.70 / $298.51	Professional		$117.17	$171.70	$298.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $207.49 / $315.14	Professional		$167.42	$207.49	$315.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $153.65 / $237.79	Facility		$109.63	$153.65	$237.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $203.00 / $318.00	Professional		$168.00	$203.00	$318.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $146.99 / $242.71	Facility		$111.96	$146.99	$242.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $182.55 / $308.35	Professional		$143.29	$182.55	$308.35
United Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $156.97 / $267.55	Professional		$103.07	$156.97	$267.55