Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $609.76 / $5,412.00	Facility		$54.06	$609.76	$5,412.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $280.61 / $631.96 / $631.96	Facility	50	$280.61	$631.96	$631.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $54.06 / $88.32	Professional		$35.71	$54.06	$88.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.96 / $114.60 / $182.31	Professional	50	$46.96	$114.60	$182.31
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 $35.74 / $53.39 / $87.74	Professional		$35.74	$53.39	$87.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.44 / $80.19 / $131.62	Professional	50	$53.44	$80.19	$131.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $43.39 / $822.00	Professional		$41.39	$43.39	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $60.85 / $420.00	Facility		$60.85	$60.85	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $56.81 / $97.65	Professional		$37.81	$56.81	$97.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $65.73 / $77.38	Professional		$51.35	$65.73	$77.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $57.18 / $88.32	Facility		$38.93	$57.18	$88.32
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $94.72 / $129.00 / $199.57	Facility	50	$94.72	$129.00	$199.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $72.00 / $93.00	Professional		$59.00	$72.00	$93.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $49.37 / $370.00	Facility		$35.03	$49.37	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $67.56 / $370.00	Professional		$49.07	$67.56	$370.00
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 $41.14 / $65.69 / $95.70	Professional		$41.14	$65.69	$95.70