Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $36.70 / $45.79	Facility		$27.52	$36.70	$45.79
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $71.81 / $71.81 / $77.98	Facility	25	$71.81	$71.81	$77.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $34.00 / $46.52	Professional		$25.32	$34.00	$46.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $42.52 / $60.94	Professional		$28.13	$42.52	$60.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $32.47 / $45.47	Professional		$32.47	$32.47	$45.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $45.75 / $45.75	Facility		$45.75	$45.75	$45.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $42.97 / $67.42	Professional		$30.57	$42.97	$67.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $45.46 / $61.48	Professional		$32.61	$45.46	$61.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $36.60 / $54.06	Facility		$27.52	$36.60	$54.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $66.00 / $85.00	Professional		$44.00	$66.00	$85.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $36.65 / $119.09	Facility		$27.53	$36.65	$119.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $48.70 / $158.82	Professional		$36.71	$48.70	$158.82
United Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $43.79 / $79.69	Professional		$29.07	$43.79	$79.69