Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $891.98 / $1,366.00	Facility		$67.29	$891.98	$1,366.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $578.67 / $989.98 / $1,441.00	Facility	25	$578.67	$989.98	$1,441.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $63.09 / $111.30	Professional		$48.50	$63.09	$111.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.19 / $132.55 / $157.61	Professional	25	$60.19	$132.55	$157.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $82.92 / $138.41	Professional		$64.84	$82.92	$138.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $84.16 / $149.19	Professional		$76.40	$84.16	$149.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $958.00 / $1,835.00	Facility		$82.02	$958.00	$1,835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.02 / $161.79	Professional		$58.78	$84.02	$161.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $86.86 / $240.73	Professional		$65.33	$86.86	$240.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $83.77 / $134.27	Facility		$62.02	$83.77	$134.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $95.85 / $150.00	Professional		$76.00	$95.85	$150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $81.03 / $135.97	Facility		$64.36	$81.03	$135.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $81.27 / $135.97	Professional		$65.45	$81.27	$135.97
United Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $72.18 / $125.47	Professional		$49.40	$72.18	$125.47