Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $40.94 / $88.32	Facility		$31.53	$40.94	$88.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $42.71 / $63.54	Professional		$30.40	$42.71	$63.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.06 / $144.06 / $144.06	Professional	25	$144.06	$144.06	$144.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $58.56 / $81.44	Professional		$39.52	$58.56	$81.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $51.81 / $72.53	Professional		$51.81	$51.81	$72.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $66.28 / $66.28	Facility		$66.28	$66.28	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $52.06 / $83.22	Professional		$35.89	$52.06	$83.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $59.57 / $80.55	Professional		$44.00	$59.57	$80.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $47.59 / $67.69	Facility		$31.53	$47.59	$67.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $58.00 / $106.66	Professional		$52.00	$58.00	$106.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $43.42 / $138.16	Facility		$32.18	$43.42	$138.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $55.37 / $177.55	Professional		$41.76	$55.37	$177.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $46.40 / $84.72	Professional		$31.60	$46.40	$84.72