Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $337.41 / $8,294.00	Facility		$39.71	$337.41	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $39.71 / $100.73	Professional		$29.04	$39.71	$100.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $333.00 / $333.00 / $333.00	Professional	50	$333.00	$333.00	$333.00
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 $26.12 / $33.79 / $49.56	Professional		$26.12	$33.79	$49.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.18 / $50.70 / $74.34	Professional	50	$39.18	$50.70	$74.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $65.03 / $1,013.00	Professional		$33.35	$65.03	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Facility		$32.22	$32.22	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $48.25 / $77.22	Professional		$27.80	$48.25	$77.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $30.61 / $40.14	Professional		$26.02	$30.61	$40.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $46.09 / $72.50	Facility		$28.14	$46.09	$72.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $73.00 / $81.00	Professional		$50.40	$73.00	$81.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $50.48 / $1,380.00	Facility		$29.78	$50.48	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $64.45 / $1,380.00	Professional		$33.65	$64.45	$1,380.00
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 $26.61 / $41.26 / $76.23	Professional		$26.61	$41.26	$76.23