Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $674.64 / $1,355.95	Facility		$177.47	$674.64	$1,355.95
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $496.54 / $630.60 / $1,203.77	Facility	25	$496.54	$630.60	$1,203.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $114.00 / $236.68	Professional		$91.35	$114.00	$236.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.18 / $232.47 / $1,839.53	Professional	25	$113.18	$232.47	$1,839.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $132.91 / $211.96	Professional		$103.18	$132.91	$211.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $130.02 / $253.54	Professional		$130.02	$130.02	$253.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $5,508.00	Facility		$143.15	$143.15	$5,508.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $143.04 / $272.54	Professional		$101.71	$143.04	$272.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $141.72 / $409.36	Professional		$108.51	$141.72	$409.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $138.00 / $208.62	Facility		$100.72	$138.00	$208.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $171.48 / $236.00	Professional		$151.00	$171.48	$236.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.49 / $135.54 / $221.49	Facility		$111.49	$135.54	$221.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $149.55 / $243.83	Professional		$122.07	$149.55	$243.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $130.56 / $222.85	Professional		$89.30	$130.56	$222.85
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $234.81	Professional	25	$80.00	$85.00	$234.81