Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $296.64 / $5,048.00	Facility		$27.75	$296.64	$5,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.79 / $30.55	Professional		$12.49	$17.79	$30.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.89 / $35.46 / $47.01	Professional	50	$19.89	$35.46	$47.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.74 / $7.80 / $8.90	Professional	52	$6.74	$7.80	$8.90
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.70 / $3.12 / $3.56	Professional	53	$2.70	$3.12	$3.56
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 $14.74 / $18.86 / $25.86	Professional		$14.74	$18.86	$25.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.12 / $28.29 / $38.79	Professional	50	$22.12	$28.29	$38.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $21.58 / $37.58	Professional		$19.04	$21.58	$37.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $18.78 / $35.07	Professional		$14.30	$18.78	$35.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $18.11 / $22.04	Professional		$14.89	$18.11	$22.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $18.45 / $26.69	Facility		$15.60	$18.45	$26.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.00 / $31.00	Professional		$16.00	$20.00	$31.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $18.55 / $805.00	Facility		$14.19	$18.55	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $18.55 / $805.00	Professional		$14.19	$18.55	$805.00
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 $11.52 / $18.73 / $28.69	Professional		$11.52	$18.73	$28.69