Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $1,938.00 / $8,294.00	Facility		$52.56	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.75 / $537.75 / $537.75	Facility	50	$537.75	$537.75	$537.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $72.05 / $130.16	Professional		$44.28	$72.05	$130.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.06 / $186.90 / $186.90	Professional	50	$153.06	$186.90	$186.90
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 $45.20 / $77.70 / $126.27	Professional		$45.20	$77.70	$126.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.80 / $116.55 / $191.26	Professional	50	$67.80	$116.55	$191.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $55.00 / $822.00	Professional		$52.37	$55.00	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $640.00	Facility		$79.31	$79.31	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $82.31 / $142.54	Professional		$48.61	$82.31	$142.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $101.65 / $120.13	Professional		$79.20	$101.65	$120.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $82.27 / $130.28	Facility		$52.12	$82.27	$130.28
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $144.78 / $165.21 / $306.85	Facility	50	$144.78	$165.21	$306.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $102.00 / $155.00	Professional		$90.00	$102.00	$155.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $62.23 / $370.00	Facility		$46.30	$62.23	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $99.67 / $370.00	Professional		$77.59	$99.67	$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 $62.09 / $97.01 / $150.26	Professional		$62.09	$97.01	$150.26