Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $42.66	Facility		$30.20	$30.20	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $83.18	Professional		$25.12	$38.02	$83.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.90 / $69.18 / $323.59	Professional	25	$30.90	$69.18	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $33.11 / $44.67	Professional		$0.02	$33.11	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $34.67	Professional		$23.44	$25.70	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $63.10	Professional		$28.84	$44.67	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $58.88	Professional		$47.86	$54.95	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $63.10	Facility		$25.70	$39.81	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $33.11	Professional		$19.05	$22.39	$33.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $52.48	Facility		$26.30	$31.62	$52.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $72.44	Professional		$36.31	$43.65	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $630.96	Facility		$47.86	$93.33	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $63.10	Professional		$23.99	$38.02	$63.10