Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $836.57 / $5,743.00	Facility		$142.13	$836.57	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $657.56 / $1,460.97 / $4,064.68	Facility	50	$657.56	$1,460.97	$4,064.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $161.34 / $278.75	Professional		$79.86	$161.34	$278.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.06 / $264.77 / $333.68	Professional	50	$122.06	$264.77	$333.68
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 $75.90 / $97.07 / $160.47	Professional		$75.90	$97.07	$160.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $113.86 / $145.60 / $240.72	Professional	50	$113.86	$145.60	$240.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $83.54 / $794.00	Professional		$83.54	$83.54	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Facility		$141.63	$141.63	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $167.25 / $318.85	Professional		$82.91	$167.25	$318.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $201.43 / $238.06	Professional		$156.35	$201.43	$238.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $171.45 / $323.70	Facility		$90.30	$171.45	$323.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $297.45 / $428.93 / $1,015.97	Facility	50	$297.45	$428.93	$1,015.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $242.06 / $321.00	Professional		$197.00	$242.06	$321.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $104.86 / $754.95	Facility		$79.31	$104.86	$754.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $232.41 / $770.84	Professional		$163.11	$232.41	$770.84
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 $133.10 / $211.96 / $348.02	Professional		$133.10	$211.96	$348.02