Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $748.00 / $4,162.00	Facility		$80.58	$748.00	$4,162.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $371.74 / $637.98 / $1,178.74	Facility	50	$371.74	$637.98	$1,178.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.94 / $33.46 / $61.67	Facility	52	$22.94	$33.46	$61.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $67.70 / $116.30	Professional		$45.59	$67.70	$116.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.99 / $121.61 / $204.63	Professional	50	$56.99	$121.61	$204.63
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 $45.43 / $65.86 / $111.53	Professional		$45.43	$65.86	$111.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.93 / $98.79 / $167.30	Professional	50	$67.93	$98.79	$167.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $54.14 / $822.00	Professional		$50.18	$54.14	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $77.04 / $420.00	Facility		$77.04	$77.04	$420.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.63 / $61.63 / $61.63	Facility	52	$61.63	$61.63	$61.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $71.15 / $123.81	Professional		$47.51	$71.15	$123.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $79.22 / $93.63	Professional		$61.88	$79.22	$93.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $71.16 / $111.98	Facility		$48.62	$71.16	$111.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $118.50 / $161.51 / $240.63	Facility	50	$118.50	$161.51	$240.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $92.00 / $121.00	Professional		$75.00	$92.00	$121.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $61.80 / $370.00	Facility		$43.27	$61.80	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $86.06 / $370.00	Professional		$62.60	$86.06	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $674.00 / $2,364.00	Facility		$231.00	$674.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $77.34 / $118.37	Professional		$50.54	$77.34	$118.37
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $85.00 / $85.00	Professional	50	$80.00	$85.00	$85.00