Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $33.35 / $59.38	Facility		$22.01	$33.35	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $30.72 / $47.85	Professional		$19.25	$30.72	$47.85
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 $14.85 / $21.85 / $36.74	Professional		$14.85	$21.85	$36.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $24.20 / $822.00	Professional		$21.46	$24.20	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $41.07 / $67.81	Professional		$20.94	$41.07	$67.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $35.46 / $41.37	Professional		$27.70	$35.46	$41.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $35.96 / $68.40	Facility		$22.01	$35.96	$68.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $56.00 / $75.20	Professional		$36.00	$56.00	$75.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $38.18 / $370.00	Facility		$20.04	$38.18	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $54.72 / $370.00	Professional		$30.79	$54.72	$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 $24.63 / $43.39 / $69.61	Professional		$24.63	$43.39	$69.61