Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $2,497.67 / $8,294.00	Facility		$45.88	$2,497.67	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $120.23 / $204.05	Professional		$38.72	$120.23	$204.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $47.14 / $77.91	Professional		$36.14	$47.14	$77.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.66 / $70.15 / $116.87	Professional	50	$53.66	$70.15	$116.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $53.39 / $676.00	Professional		$43.69	$53.39	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $151.87 / $294.98	Professional		$44.22	$151.87	$294.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $199.03 / $243.91	Professional		$165.86	$199.03	$243.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $158.85 / $279.72	Facility		$45.81	$158.85	$279.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $259.32 / $328.84	Professional		$93.00	$259.32	$328.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $57.90 / $166.07	Facility		$42.16	$57.90	$166.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $218.35 / $383.90	Professional		$166.07	$218.35	$383.90
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 $130.30 / $204.54 / $323.97	Professional		$130.30	$204.54	$323.97