Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $941.66 / $5,743.00	Facility		$102.17	$941.66	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $490.97 / $1,018.73 / $1,178.74	Facility	50	$490.97	$1,018.73	$1,178.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $94.70 / $160.62	Professional		$57.91	$94.70	$160.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.15 / $167.46 / $308.95	Professional	50	$89.15	$167.46	$308.95
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 $58.64 / $94.88 / $155.86	Professional		$58.64	$94.88	$155.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.91 / $142.33 / $234.01	Professional	50	$87.91	$142.33	$234.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $73.90 / $822.00	Professional		$68.01	$73.90	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $100.78 / $640.00	Facility		$100.78	$100.78	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $103.11 / $177.41	Professional		$63.28	$103.11	$177.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $120.97 / $142.96	Professional		$94.31	$120.97	$142.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $103.07 / $164.45	Facility		$68.55	$103.07	$164.45
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $184.17 / $209.33 / $367.73	Facility	50	$184.17	$209.33	$367.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $127.00 / $187.85	Professional		$113.00	$127.00	$187.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $81.56 / $438.50	Facility		$59.63	$81.56	$438.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $125.01 / $447.72	Professional		$95.79	$125.01	$447.72
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 $77.38 / $119.16 / $204.09	Professional		$77.38	$119.16	$204.09