Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $22.98 / $259.83	Facility		$12.98	$22.98	$259.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $19.01 / $32.54	Professional		$11.02	$19.01	$32.54
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 $9.92 / $12.97 / $21.65	Professional		$9.92	$12.97	$21.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $14.88 / $19.45 / $32.47	Professional	50	$14.88	$19.45	$32.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $13.84 / $822.00	Professional		$12.55	$13.84	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $27.21 / $49.98	Professional		$12.70	$27.21	$49.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $24.04 / $28.13	Professional		$18.78	$24.04	$28.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $22.73 / $50.11	Facility		$12.98	$22.73	$50.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $35.00 / $62.00	Professional		$24.00	$35.00	$62.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $21.97 / $370.00	Facility		$11.79	$21.97	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $34.26 / $370.00	Professional		$19.32	$34.26	$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 $15.59 / $29.61 / $48.80	Professional		$15.59	$29.61	$48.80