Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $646.36 / $8,294.00	Facility		$92.69	$646.36	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $109.67 / $203.32	Professional		$61.47	$109.67	$203.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $241.97 / $241.97 / $241.97	Professional	50	$241.97	$241.97	$241.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.09 / $47.33 / $61.23	Professional	52	$31.09	$47.33	$61.23
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 $65.69 / $105.41 / $160.06	Professional		$65.69	$105.41	$160.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.84 / $158.12 / $240.09	Professional	50	$98.84	$158.12	$240.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $78.93 / $974.00	Professional		$71.23	$78.93	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $114.34	Facility		$114.34	$114.34	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $109.57 / $182.86	Professional		$67.41	$109.57	$182.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $134.38 / $159.99	Professional		$119.00	$134.38	$159.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $101.31 / $152.27	Facility		$60.86	$101.31	$152.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $155.00 / $213.00	Professional		$132.00	$155.00	$213.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.68 / $85.09 / $1,082.00	Facility		$60.68	$85.09	$1,082.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $138.53 / $1,082.00	Professional		$96.26	$138.53	$1,082.00
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 $85.61 / $114.74 / $198.01	Professional		$85.61	$114.74	$198.01