Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $302.00 / $5,754.40	Facility		$22.39	$302.00	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $53.70 / $123.03	Professional		$15.14	$53.70	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $38.02 / $114.82	Professional		$16.22	$38.02	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $24.55 / $56.23 / $173.78	Professional	50	$24.55	$56.23	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $707.95 / $1,047.13	Professional		$12.88	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $34.67	Facility		$26.92	$26.92	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $43.65 / $100.00	Professional		$15.49	$43.65	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $102.33	Professional		$64.57	$85.11	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.90 / $87.10	Facility		$15.49	$38.90	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $4,073.80	Facility		$16.22	$25.12	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $4,073.80	Professional		$42.66	$81.28	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $36.31 / $85.11	Professional		$14.45	$36.31	$85.11