Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $30.58 / $43.48	Facility		$29.80	$30.58	$43.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $37.03 / $65.62	Professional		$23.91	$37.03	$65.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $50.21 / $172.00	Professional	25	$39.76	$50.21	$172.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.95 / $15.29 / $21.74	Professional	52	$11.95	$15.29	$21.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $36.35 / $46.28	Professional		$0.02	$36.35	$46.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $25.92 / $50.54	Professional		$25.92	$25.92	$50.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $45.26 / $64.65	Professional		$36.64	$45.26	$64.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $37.53 / $62.82	Facility		$25.10	$37.53	$62.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $58.53 / $70.00	Professional		$47.78	$58.53	$70.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $33.46 / $56.70	Facility		$26.63	$33.46	$56.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $45.50 / $76.70	Professional		$36.02	$45.50	$76.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $43.21 / $73.20	Professional		$28.37	$43.21	$73.20