Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $34.15 / $62.01	Facility		$21.26	$34.15	$62.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $31.01 / $49.85	Professional		$18.12	$31.01	$49.85
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 $14.05 / $20.68 / $34.77	Professional		$14.05	$20.68	$34.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.08 / $30.74 / $52.16	Professional	50	$21.08	$30.74	$52.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $22.75 / $822.00	Professional		$20.22	$22.75	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $43.85 / $76.01	Professional		$20.05	$43.85	$76.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $36.04 / $41.89	Professional		$28.16	$36.04	$41.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $36.64 / $78.40	Facility		$21.26	$36.64	$78.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $56.00 / $84.00	Professional		$36.00	$56.00	$84.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $41.05 / $370.00	Facility		$19.32	$41.05	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $58.71 / $370.00	Professional		$31.54	$58.71	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $47.76 / $83.30	Professional		$25.41	$47.76	$83.30