Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,122.02 / $5,248.07	Facility		$123.03	$1,122.02	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	50	$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $190.55 / $457.09	Professional		$66.07	$190.55	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $251.19 / $707.95	Professional	50	$147.91	$251.19	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $151.36	Professional		$66.07	$91.20	$151.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $134.90 / $223.87	Professional	50	$95.50	$134.90	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $933.25	Professional		$61.66	$85.11	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $169.82 / $426.58	Professional		$70.79	$169.82	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $338.84	Professional		$229.09	$275.42	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $724.44	Professional		$269.15	$338.84	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $416.87	Facility		$72.44	$194.98	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $1,174.90	Facility		$67.61	$93.33	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $1,479.11	Professional		$194.98	$288.40	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,148.15 / $2,398.83	Facility		$251.19	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $165.96 / $398.11	Professional		$64.57	$165.96	$398.11