Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.43 / $1,038.40 / $6,135.50	Facility		$135.43	$1,038.40	$6,135.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,600.00 / $2,600.00 / $2,600.00	Facility	50	$2,600.00	$2,600.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $107.54 / $221.24	Professional		$52.12	$107.54	$221.24
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 $57.61 / $109.17 / $178.68	Professional		$57.61	$109.17	$178.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.42 / $164.61 / $268.02	Professional	50	$86.42	$164.61	$268.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $65.73 / $1,013.00	Professional		$65.73	$65.73	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Facility		$102.67	$102.67	$102.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $105.01 / $190.38	Professional		$58.90	$105.01	$190.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $151.94 / $180.88	Professional		$135.08	$151.94	$180.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $108.67 / $168.25	Facility		$58.43	$108.67	$168.25
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $84.30 / $132.00 / $180.81	Facility	50	$84.30	$132.00	$180.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $146.00 / $239.70	Professional		$108.00	$146.00	$239.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $76.68 / $1,098.00	Facility		$56.70	$76.68	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $150.58 / $1,098.00	Professional		$87.41	$150.58	$1,098.00
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 $76.00 / $114.14 / $222.08	Professional		$76.00	$114.14	$222.08