Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $362.77 / $6,827.70	Facility		$27.32	$362.77	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $26.67 / $43.49	Professional		$12.96	$26.67	$43.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $27.29 / $45.36	Professional		$13.37	$27.29	$45.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.05 / $40.94 / $68.04	Professional	50	$20.05	$40.94	$68.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $974.00	Professional		$12.35	$12.35	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $24.86	Facility		$24.86	$24.86	$24.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $30.02 / $51.34	Professional		$14.36	$30.02	$51.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $38.59 / $45.94	Professional		$34.61	$38.59	$45.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $27.16 / $45.24	Facility		$13.53	$27.16	$45.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $43.00 / $62.00	Professional		$36.00	$43.00	$62.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $20.41 / $1,098.00	Facility		$14.86	$20.41	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $39.99 / $1,098.00	Professional		$29.15	$39.99	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $33.27 / $57.89	Professional		$24.02	$33.27	$57.89