Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $350.95 / $5,743.00	Facility		$26.47	$350.95	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $39.31 / $70.81	Professional		$21.61	$39.31	$70.81
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 $22.28 / $40.28 / $61.39	Professional		$22.28	$40.28	$61.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.42 / $60.42 / $92.08	Professional	50	$33.42	$60.42	$92.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $974.00	Professional		$19.97	$19.97	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Facility		$41.11	$41.11	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $43.64 / $69.73	Professional		$24.01	$43.64	$69.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $52.14 / $62.08	Professional		$47.18	$52.14	$62.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $40.47 / $63.45	Facility		$22.61	$40.47	$63.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $62.00 / $86.43	Professional		$55.00	$62.00	$86.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $33.89 / $1,098.00	Facility		$24.27	$33.89	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $55.29 / $1,098.00	Professional		$41.87	$55.29	$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 $34.40 / $47.30 / $80.30	Professional		$34.40	$47.30	$80.30