Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $73.56 / $73.92	Facility		$67.45	$73.56	$73.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $72.11 / $126.82	Professional		$57.80	$72.11	$126.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.80 / $185.50 / $185.50	Professional	25	$96.80	$185.50	$185.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $82.06 / $124.73	Professional		$63.09	$82.06	$124.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $77.34 / $128.25	Professional		$65.77	$77.34	$128.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $94.80 / $94.80	Facility		$86.21	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $94.29 / $184.94	Professional		$64.03	$94.29	$184.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $81.44 / $113.91	Professional		$66.83	$81.44	$113.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $83.40 / $124.33	Facility		$62.83	$83.40	$124.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $96.00 / $166.06	Professional		$88.00	$96.00	$166.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $92.63 / $155.06	Facility		$73.48	$92.63	$155.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $93.54 / $155.82	Professional		$73.84	$93.54	$155.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $83.95 / $137.84	Professional		$56.96	$83.95	$137.84
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07