Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.35 / $114.86 / $333.30	Facility		$101.35	$114.86	$333.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $354.99 / $354.99 / $354.99	Facility	25	$354.99	$354.99	$354.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $129.54 / $234.46	Professional		$101.34	$129.54	$234.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $149.58 / $227.90	Professional		$111.82	$149.58	$227.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $116.44 / $227.06	Professional		$110.62	$116.44	$227.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $149.03	Facility		$149.03	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $165.31 / $342.17	Professional		$113.23	$165.31	$342.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $164.32 / $450.02	Professional		$110.46	$164.32	$450.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $165.47 / $245.52	Facility		$125.00	$165.47	$245.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $185.00 / $261.00	Professional		$156.00	$185.00	$261.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $161.78 / $323.64	Facility		$124.99	$161.78	$323.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $161.78 / $323.64	Professional		$124.99	$161.78	$323.64
United Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $146.90 / $267.52	Professional		$95.87	$146.90	$267.52