Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $30.90 / $8,317.64	Facility		$7.08	$30.90	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $25.70	Professional		$6.03	$12.02	$25.70
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 $7.59 / $13.49 / $22.91	Professional		$7.59	$13.49	$22.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $20.42 / $34.67	Professional	50	$11.48	$20.42	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $707.95 / $1,047.13	Professional		$6.03	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $34.67	Facility		$12.88	$12.88	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.80 / $26.30	Professional		$7.41	$13.80	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $20.42	Professional		$12.88	$16.98	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $26.92	Professional		$22.39	$22.39	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.18 / $26.92	Facility		$7.08	$13.18	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.72 / $4,073.80	Facility		$7.24	$10.72	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $4,073.80	Professional		$13.18	$21.38	$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 $6.92 / $13.18 / $25.70	Professional		$6.92	$13.18	$25.70