Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $144.54 / $5,888.44	Facility		$26.30	$144.54	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $40.74 / $85.11	Professional		$21.38	$40.74	$85.11
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 $24.55 / $42.66 / $72.44	Professional		$24.55	$42.66	$72.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $64.57 / $107.15	Professional	50	$37.15	$64.57	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $707.95 / $1,047.13	Professional		$19.05	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Facility		$34.67	$34.67	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $69.18	Professional		$23.99	$43.65	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $63.10	Professional		$40.74	$53.70	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $66.07	Professional		$53.70	$53.70	$66.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $64.57	Facility		$22.39	$39.81	$64.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $4,073.80	Facility		$22.91	$33.88	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $4,073.80	Professional		$39.81	$58.88	$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 $22.39 / $39.81 / $69.18	Professional		$22.39	$39.81	$69.18