Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $812.00 / $8,294.00	Facility		$45.12	$812.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $59.97 / $99.42	Professional		$38.61	$59.97	$99.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.85 / $121.11 / $121.11	Professional	50	$63.85	$121.11	$121.11
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 $35.34 / $54.90 / $93.83	Professional		$35.34	$54.90	$93.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.01 / $82.46 / $140.74	Professional	50	$53.01	$82.46	$140.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $46.68 / $822.00	Professional		$43.22	$46.68	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $420.00	Facility		$65.69	$65.69	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $64.47 / $108.67	Professional		$41.39	$64.47	$108.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $70.28 / $82.38	Professional		$54.91	$70.28	$82.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $62.97 / $97.97	Facility		$41.92	$62.97	$97.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $84.00 / $103.00	Professional		$74.00	$84.00	$103.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $53.67 / $370.00	Facility		$37.42	$53.67	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $73.90 / $370.00	Professional		$54.91	$73.90	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,350.00	Facility		$231.00	$1,045.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $68.62 / $106.59	Professional		$45.37	$68.62	$106.59