Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $126.73 / $163.15	Facility		$78.12	$126.73	$163.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $78.12 / $139.55	Professional		$60.34	$78.12	$139.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.75 / $86.04 / $197.77	Professional	25	$69.75	$86.04	$197.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $89.50 / $134.78	Professional		$68.28	$89.50	$134.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $128.25	Professional		$65.77	$65.77	$128.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.63 / $100.27 / $100.27	Facility		$99.63	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $106.12 / $202.70	Professional		$70.43	$106.12	$202.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $94.12 / $132.33	Professional		$74.98	$94.12	$132.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $94.34 / $140.01	Facility		$69.59	$94.34	$140.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $110.00 / $176.42	Professional		$101.00	$110.00	$176.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $99.54 / $152.04	Facility		$78.47	$99.54	$152.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $107.92 / $168.49	Professional		$84.82	$107.92	$168.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $95.93 / $156.47	Professional		$64.79	$95.93	$156.47
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $83.64 / $99.10	Professional	25	$80.00	$83.64	$99.10