Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $295.12 / $5,888.44	Facility		$38.90	$295.12	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $154.88	Professional		$30.20	$45.71	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $70.79 / $331.13	Professional	50	$30.20	$70.79	$331.13
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 $26.92 / $39.81 / $56.23	Professional		$26.92	$39.81	$56.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $58.88 / $83.18	Professional	50	$39.81	$58.88	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $354.81 / $1,047.13	Professional		$29.51	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $74.13	Professional		$27.54	$45.71	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $40.74	Professional		$23.99	$30.90	$40.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $83.18	Professional		$70.79	$72.44	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $75.86	Facility		$28.18	$45.71	$75.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $4,073.80	Facility		$29.51	$51.29	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $4,073.80	Professional		$33.11	$64.57	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $70.79	Professional		$24.55	$40.74	$70.79