Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $996.37 / $5,412.00	Facility		$135.44	$996.37	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $118.67 / $209.74	Professional		$48.36	$118.67	$209.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.34 / $371.34 / $777.60	Professional	50	$371.34	$371.34	$777.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $59.53 / $97.72	Professional		$45.86	$59.53	$97.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.76 / $86.82 / $144.66	Professional	50	$67.76	$86.82	$144.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $53.75 / $676.00	Professional		$50.60	$53.75	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $139.15 / $292.64	Professional		$54.97	$139.15	$292.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $181.09 / $222.10	Professional		$150.91	$181.09	$222.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $154.51 / $310.92	Facility		$55.11	$154.51	$310.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $139.50 / $318.81 / $775.50	Facility	50	$139.50	$318.81	$775.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $186.00 / $282.00	Professional		$161.00	$186.00	$282.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $71.81 / $194.98	Facility		$51.84	$71.81	$194.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $212.72 / $368.93	Professional		$148.15	$212.72	$368.93
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $200.75 / $331.57	Professional		$133.16	$200.75	$331.57