Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $32.18 / $53.19	Facility		$20.45	$32.18	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.21 / $45.63	Professional		$17.39	$28.21	$45.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.33 / $73.97 / $85.96	Professional	50	$55.33	$73.97	$85.96
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 $15.33 / $20.04 / $33.38	Professional		$15.33	$20.04	$33.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.99 / $30.06 / $50.07	Professional	50	$22.99	$30.06	$50.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $21.86 / $822.00	Professional		$19.38	$21.86	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $30.07	Facility		$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $37.77 / $58.93	Professional		$19.62	$37.77	$58.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $34.64 / $40.36	Professional		$27.06	$34.64	$40.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $33.65 / $55.64	Facility		$20.45	$33.65	$55.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $54.98 / $74.94 / $104.50	Facility	50	$54.98	$74.94	$104.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $49.16 / $63.00	Professional		$33.00	$49.16	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $29.97 / $370.00	Facility		$18.28	$29.97	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $43.36 / $370.00	Professional		$28.17	$43.36	$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 $23.29 / $39.11 / $61.79	Professional		$23.29	$39.11	$61.79