Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $33.77 / $62.01	Facility		$21.26	$33.77	$62.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $31.08 / $48.45	Professional		$18.12	$31.08	$48.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3.57 / $3.57 / $82.53	Professional	50	$3.57	$3.57	$82.53
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 $15.93 / $20.83 / $34.77	Professional		$15.93	$20.83	$34.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.90 / $31.24 / $52.16	Professional	50	$23.90	$31.24	$52.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $22.28 / $822.00	Professional		$20.22	$22.28	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Facility		$31.08	$31.08	$31.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $41.52 / $68.77	Professional		$20.05	$41.52	$68.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $35.96 / $41.87	Professional		$28.09	$35.96	$41.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $35.79 / $70.03	Facility		$21.26	$35.79	$70.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $55.00 / $76.20	Professional		$36.00	$55.00	$76.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $38.22 / $370.00	Facility		$19.32	$38.22	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $54.95 / $370.00	Professional		$31.18	$54.95	$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 $24.94 / $44.74 / $77.28	Professional		$24.94	$44.74	$77.28