Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $407.38 / $5,011.87	Facility		$52.48	$407.38	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $741.31 / $2,089.30	Facility	50	$630.96	$741.31	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $154.88	Professional		$37.15	$67.61	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $144.54 / $323.59	Professional	50	$69.18	$144.54	$323.59
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 $40.74 / $64.57 / $109.65	Professional		$40.74	$64.57	$109.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $97.72 / $162.18	Professional	50	$61.66	$97.72	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $1,047.13	Professional		$39.81	$54.95	$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 $38.90 / $60.26 / $104.71	Professional		$38.90	$60.26	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $83.18	Professional		$56.23	$70.79	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $123.03	Professional		$74.13	$93.33	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $100.00	Facility		$37.15	$58.88	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $51.29 / $1,288.25	Facility		$35.48	$51.29	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,288.25	Professional		$50.12	$70.79	$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 $32.36 / $54.95 / $93.33	Professional		$32.36	$54.95	$93.33