Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $642.96 / $5,296.88	Facility		$56.42	$642.96	$5,296.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $637.98 / $637.98 / $2,067.82	Facility	50	$637.98	$637.98	$2,067.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $56.42 / $92.43	Professional		$37.50	$56.42	$92.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.04 / $121.84 / $172.40	Professional	50	$79.04	$121.84	$172.40
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 $36.74 / $55.45 / $90.21	Professional		$36.74	$55.45	$90.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $55.11 / $83.18 / $135.31	Professional	50	$55.11	$83.18	$135.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $46.17 / $822.00	Professional		$42.55	$46.17	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $420.00	Facility		$62.56	$62.56	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $60.76 / $103.26	Professional		$39.33	$60.76	$103.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $66.97 / $78.77	Professional		$52.32	$66.97	$78.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $59.81 / $94.05	Facility		$40.21	$59.81	$94.05
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $99.00 / $133.69 / $204.60	Facility	50	$99.00	$133.69	$204.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $79.00 / $98.00	Professional		$63.00	$79.00	$98.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $51.73 / $370.00	Facility		$36.07	$51.73	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $70.94 / $370.00	Professional		$52.33	$70.94	$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 $42.58 / $65.81 / $99.47	Professional		$42.58	$65.81	$99.47