Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $52.48	Facility		$26.92	$36.31	$52.48
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $72.44 / $72.44 / $77.62	Facility	25	$72.44	$72.44	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $50.12	Professional		$25.12	$33.88	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $69.18	Professional		$31.62	$47.86	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $42.66	Professional		$30.90	$32.36	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $67.61	Professional		$30.90	$43.65	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $66.07	Professional		$26.30	$42.66	$66.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $53.70	Facility		$26.30	$36.31	$53.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $37.15 / $7,413.10	Facility		$26.30	$37.15	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $7,413.10	Professional		$35.48	$48.98	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $70.79	Professional		$23.44	$41.69	$70.79