Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $259.23 / $448.22	Facility		$135.16	$259.23	$448.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $128.72 / $238.62	Professional		$97.00	$128.72	$238.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $89.96 / $143.06 / $180.60	Professional	25	$89.96	$143.06	$180.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $146.22 / $212.08	Professional		$109.91	$146.22	$212.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $237.04	Professional		$121.56	$121.56	$237.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $153.65 / $213.41	Professional		$124.61	$153.65	$213.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $129.00 / $210.30	Facility		$93.62	$129.00	$210.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $193.22 / $307.75	Professional		$144.47	$193.22	$307.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.83 / $135.46 / $243.42	Facility		$105.83	$135.46	$243.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $135.46 / $243.42	Professional		$105.83	$135.46	$243.42
United Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $133.33 / $208.27	Professional		$93.15	$133.33	$208.27