Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $69.42 / $3,568.23	Facility		$25.20	$69.42	$3,568.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $26.48 / $42.51	Professional		$17.35	$26.48	$42.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $21.75 / $36.08	Professional		$13.52	$21.75	$36.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $22.49 / $1,013.00	Professional		$16.66	$22.49	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $29.00 / $50.48	Professional		$16.39	$29.00	$50.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $31.37 / $38.69	Professional		$26.14	$31.37	$38.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $21.33 / $47.17	Facility		$10.62	$21.33	$47.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $44.00 / $56.00	Professional		$37.00	$44.00	$56.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $20.94 / $982.00	Facility		$14.20	$20.94	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $39.53 / $982.00	Professional		$26.10	$39.53	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $40.69 / $65.56	Professional		$26.98	$40.69	$65.56