Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $644.00 / $5,412.00	Facility		$48.27	$644.00	$5,412.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $123.69 / $413.94 / $727.30	Facility	50	$123.69	$413.94	$727.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $59.16 / $102.83	Professional		$39.00	$59.16	$102.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.00 / $128.02 / $185.42	Professional	50	$84.00	$128.02	$185.42
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 $33.01 / $48.63 / $95.13	Professional		$33.01	$48.63	$95.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.47 / $82.82 / $141.56	Professional	50	$53.47	$82.82	$141.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $45.35 / $822.00	Professional		$45.35	$45.35	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $66.77 / $420.00	Facility		$66.77	$66.77	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $63.50 / $108.11	Professional		$40.95	$63.50	$108.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $70.91 / $83.36	Professional		$55.40	$70.91	$83.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $62.00 / $97.94	Facility		$41.75	$62.00	$97.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $104.68 / $139.76 / $214.62	Facility	50	$104.68	$139.76	$214.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $80.00 / $101.05	Professional		$66.00	$80.00	$101.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $52.23 / $295.00	Facility		$37.02	$52.23	$295.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $73.59 / $295.00	Professional		$55.40	$73.59	$295.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $70.91 / $103.74	Professional		$44.76	$70.91	$103.74