Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $616.50 / $6,827.70	Facility		$70.84	$616.50	$6,827.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $386.00 / $386.00 / $452.44	Facility	50	$386.00	$386.00	$452.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $86.01 / $134.19	Professional		$56.40	$86.01	$134.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.03 / $183.30 / $257.76	Professional	50	$120.03	$183.30	$257.76
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 $56.74 / $82.84 / $139.41	Professional		$56.74	$82.84	$139.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.91 / $124.26 / $209.12	Professional	50	$84.91	$124.26	$209.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $63.01 / $822.00	Professional		$63.01	$63.01	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $96.49 / $420.00	Facility		$96.49	$96.49	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $86.49 / $154.88	Professional		$59.33	$86.49	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $101.38 / $119.81	Professional		$78.93	$101.38	$119.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $87.63 / $138.59	Facility		$58.65	$87.63	$138.59
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $136.91 / $183.00 / $303.70	Facility	50	$136.91	$183.00	$303.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $108.00 / $145.00	Professional		$95.00	$108.00	$145.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.79 / $74.00 / $370.00	Facility		$53.79	$74.00	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $99.33 / $375.14	Professional		$72.73	$99.33	$375.14
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,350.00	Facility		$231.00	$1,045.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $97.64 / $163.12	Professional		$60.20	$97.64	$163.12