Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $776.25 / $5,754.40	Facility		$42.66	$776.25	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $81.28 / $257.04	Professional		$23.99	$81.28	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $61.66	Professional		$24.55	$36.31	$61.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $54.95 / $91.20	Professional	50	$37.15	$54.95	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $2,511.89	Professional		$26.30	$38.90	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $81.28 / $263.03	Professional		$27.54	$81.28	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $51.29	Professional		$34.67	$42.66	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $398.11 / $446.68	Professional		$77.62	$398.11	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $95.50 / $295.12	Facility		$26.92	$95.50	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $102.33 / $2,290.87	Facility		$26.92	$102.33	$2,290.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $181.97 / $2,290.87	Professional		$37.15	$181.97	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $302.00	Professional		$21.88	$57.54	$302.00