Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $398.11 / $4,677.35	Facility		$53.70	$398.11	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $630.96 / $1,479.11	Facility	50	$630.96	$630.96	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $147.91	Professional		$34.67	$64.57	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $117.49 / $269.15	Professional	50	$63.10	$117.49	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $107.15	Professional		$38.90	$63.10	$107.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $95.50 / $158.49	Professional	50	$58.88	$95.50	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $1,047.13	Professional		$38.90	$52.48	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $97.72	Professional		$37.15	$56.23	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $83.18	Professional		$54.95	$69.18	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $117.49	Professional		$69.18	$87.10	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $56.23 / $93.33	Facility		$35.48	$56.23	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $1,288.25	Facility		$33.88	$48.98	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $1,288.25	Professional		$47.86	$66.07	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,398.83	Facility		$229.09	$1,202.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $89.13	Professional		$31.62	$52.48	$89.13