Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $3,633.00 / $8,920.00	Facility		$30.02	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $37.09 / $67.23	Professional		$30.02	$37.09	$67.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
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 $31.03 / $39.69 / $56.59	Professional		$31.03	$39.69	$56.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.55 / $59.53 / $82.67	Professional	50	$46.55	$59.53	$82.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $78.29 / $1,013.00	Professional		$37.84	$78.29	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Facility		$56.91	$56.91	$56.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $46.25 / $86.99	Professional		$32.27	$46.25	$86.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $45.64 / $58.40	Professional		$38.79	$45.64	$58.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $48.14 / $72.86	Facility		$33.86	$48.14	$72.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $59.00 / $78.30	Professional		$51.00	$59.00	$78.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $42.95 / $1,380.00	Facility		$32.07	$42.95	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $52.60 / $1,380.00	Professional		$39.90	$52.60	$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 $30.64 / $41.17 / $74.05	Professional		$30.64	$41.17	$74.05