Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $89.13	Facility		$30.90	$60.26	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $64.57	Professional		$30.20	$43.65	$64.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $91.20	Professional		$45.71	$66.07	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $67.61	Professional		$48.98	$51.29	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $87.10	Professional		$35.48	$51.29	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $87.10	Professional		$38.02	$56.23	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $69.18	Facility		$31.62	$46.77	$69.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $7,413.10	Facility		$30.90	$44.67	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $7,413.10	Professional		$41.69	$58.88	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $630.96	Facility		$177.83	$199.53	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $77.62	Professional		$26.30	$45.71	$77.62