Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $1,792.00 / $6,827.70	Facility		$143.04	$1,792.00	$6,827.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,153.61 / $1,153.61 / $1,153.61	Facility	50	$1,153.61	$1,153.61	$1,153.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $158.12 / $281.39	Professional		$66.37	$158.12	$281.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $441.00 / $467.56 / $550.50	Professional	50	$441.00	$467.56	$550.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $81.40 / $131.59	Professional		$62.71	$81.40	$131.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.65 / $118.72 / $197.39	Professional	50	$92.65	$118.72	$197.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $676.00	Professional		$67.81	$67.81	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $163.63 / $393.54	Professional		$72.09	$163.63	$393.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $257.58 / $315.66	Professional		$214.65	$257.58	$315.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $213.70 / $454.31	Facility		$78.72	$213.70	$454.31
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $195.00 / $418.26 / $1,287.00	Facility	50	$195.00	$418.26	$1,287.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $275.00 / $403.00	Professional		$231.00	$275.00	$403.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $97.08 / $240.04	Facility		$71.09	$97.08	$240.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $298.89 / $569.27	Professional		$209.44	$298.89	$569.27
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 $177.98 / $286.58 / $495.34	Professional		$177.98	$286.58	$495.34