Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $416.00 / $575.14	Facility		$39.17	$416.00	$575.14
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $374.95 / $480.79 / $618.49	Facility	25	$374.95	$480.79	$618.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $40.96 / $76.72	Professional		$30.72	$40.96	$76.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $48.73 / $81.34	Professional		$37.27	$48.73	$81.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $45.01 / $87.77	Professional		$44.94	$45.01	$87.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $555.00 / $1,215.00	Facility		$48.16	$555.00	$1,215.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $53.00 / $106.06	Professional		$35.03	$53.00	$106.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $51.55 / $142.76	Professional		$38.77	$51.55	$142.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $55.00 / $76.88	Facility		$40.00	$55.00	$76.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $58.00 / $96.98	Professional		$46.00	$58.00	$96.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $50.78 / $86.94	Facility		$38.01	$50.78	$86.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $51.13 / $86.94	Professional		$39.24	$51.13	$86.94
United Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $44.01 / $79.44	Professional		$29.88	$44.01	$79.44