Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.40 / $179.74 / $414.96	Facility		$120.40	$179.74	$414.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $276.75 / $276.75 / $276.75	Facility	25	$276.75	$276.75	$276.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $217.67 / $342.15	Professional		$157.27	$217.67	$342.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $150.27 / $246.91 / $554.60	Professional	25	$150.27	$246.91	$554.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $238.29 / $348.14	Professional		$170.16	$238.29	$348.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $178.99 / $252.86	Professional		$178.99	$178.99	$252.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.50 / $252.50 / $252.50	Facility		$252.50	$252.50	$252.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $266.36 / $400.84	Professional		$177.55	$266.36	$400.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $271.30 / $366.88	Professional		$180.66	$271.30	$366.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $227.51 / $333.76	Facility		$156.30	$227.51	$333.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $318.00 / $493.00	Professional		$285.00	$318.00	$493.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $231.84 / $697.67	Facility		$158.78	$231.84	$697.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.22 / $297.04 / $1,043.24	Professional		$222.22	$297.04	$1,043.24
United Facility/Professional Professional Modifier Low / Median / High Price $181.07 / $300.89 / $501.89	Professional		$181.07	$300.89	$501.89